Superior Home Medical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SUPERIOR HOME MEDICAL

Practice address

1001 N 6TH St Ste B
Blytheville, AR 72315-1707

Phone

(870) 762-5959

NPI assigned

Aug 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Shandala Nicole Smith

Title

Owner

Phone

(870) 763-7993

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1023028420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S RIDGEWAY DR",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723158014",
            "telephone_number": "770-763-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N 6TH ST STE B",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723151707",
            "telephone_number": "870-762-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HOME MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHANDALA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-763-7993",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Stewart, PLMSW
• Kynesha Stoker
• Timothy W Stone, RN
• Miranda Sullivan
• Superintendent of Blytheville School District No 5
• Christopher L Surratt, APRN
• Miracle A Swanagan
• Amy Elizabeth Taylor, CPHT
• Hannah Taylor, SLPA
• Dixie Terry, MHPP

• Durable Medical Equipment & Medical Supplies in Blytheville, AR
• Providers in Blytheville, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.