Active NPI
Super Home Care LLC
- Home Delivered Meals
- Denver, CO
National Provider Identifier
1053071530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Delivered Meals
- Legal business name
- SUPER HOME CARE LLC
- Practice address
- 1230 S Parker Rd Ste 217
Denver, CO 80231-2119 - Phone
- (303) 728-9154
- NPI assigned
- Dec 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mohamed Elias Omer
- Title
- Administration
- Phone
- (720) 829-9083
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Delivered Meals | 332U00000X | Primary |
Addresses
Primary practice location
1230 S Parker Rd Ste 217
Denver, CO 80231-2119
Mailing address
1230 S Parker Rd Ste 17217
Denver, CO 80231-2118
Phone (303) 728-9154
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.superhcarecom.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider Directory- Tax ID family
- Super Home Care LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Denver, CO
- NPI 1558981845
-
- Homemaker
- Denver, CO
- NPI 1780207977
Locations
1230 S Parker Rd
Ste 17217
Denver, CO 80231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640217600000",
"number": "1053071530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 S PARKER RD STE 17217",
"city": "DENVER",
"state": "CO",
"postal_code": "802312118",
"telephone_number": "303-728-9154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 S PARKER RD STE 217",
"city": "DENVER",
"state": "CO",
"postal_code": "802312119",
"telephone_number": "303-728-9154"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPER HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-23",
"last_updated": "2021-12-23",
"certification_date": "2021-12-20",
"status": "A",
"authorized_official_last_name": "OMER",
"authorized_official_first_name": "MOHAMED",
"authorized_official_middle_name": "ELIAS",
"authorized_official_title_or_position": "ADMINISTRATION",
"authorized_official_telephone_number": "720-829-9083",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.superhcarecom.com",
"affiliation": "N",
"endpointDescription": "Website",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1230 S Parker Rd Ste 217",
"city": "Denver",
"state": "CO",
"country_code": "US",
"postal_code": "802312119",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.