Superior Community Care LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

SUPERIOR COMMUNITY CARE LLC

Doing business as

Superior Community Care

Practice address

2248 Country Brook Cir
Anchorage, AK 99502-4639

Phone

(907) 830-5332

NPI assigned

Jan 20, 2021

Last updated

Jan 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Josh Witham

Title

Administrator

Phone

(907) 830-5332

Specialties & licenses 1

Addresses

Other names 1

• Superior Community Care Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joshua Aaron Witham

  • Developmentally Disabled Services Day Training Agency
  • Anchorage, AK
  • NPI 1023612470

  Day Training, Developmentally Disabled Services

  NPD

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1063002301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2248 COUNTRY BROOK CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995024639",
            "telephone_number": "907-830-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2248 COUNTRY BROOK CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995024639",
            "telephone_number": "907-830-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR COMMUNITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "WITHAM",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-830-5332",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Community Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.

Verify at the official NPI Registry.