Viva Superior Care, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

VIVA SUPERIOR CARE, LLC

Practice address

3311 Tuscany Hills CT
Bridgeton, MO 63044-2817

Phone

(865) 591-2712

NPI assigned

Apr 5, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Mussie Alemseghed, PH.D.

Title

Research Specialist

Phone

(865) 591-2712

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1023703162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 TUSCANY HILLS CT",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442817",
            "telephone_number": "865-591-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 TUSCANY HILLS CT",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442817",
            "telephone_number": "865-591-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVA SUPERIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "ALEMSEGHED",
        "authorized_official_first_name": "MUSSIE",
        "authorized_official_title_or_position": "RESEARCH SPECIALIST",
        "authorized_official_telephone_number": "865-591-2712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.