Organization Active NPI

Superior Senior & Disabled Care LLC

Doing business as Comfort Keepers

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1083909659
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUPERIOR SENIOR & DISABLED CARE LLC
Doing business as
Comfort Keepers
Practice address
9951 Atlantic Blvd
Suite 220
Jacksonville, FL 32225
Phone
(904) 298-2273
Fax
(904) 298-2279
NPI assigned
Jun 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Mrs. Michelle Ibrahim
Title
Managing Partner
Phone
(904) 298-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

9951 Atlantic Blvd
Suite 220
Jacksonville, FL 32225

Mailing address

9951 Atlantic Blvd
Suite 220
Jacksonville, FL 32225
Phone (904) 298-2273

Other names 1

  • Comfort Keepers Doing business as

National Provider Directory

National Provider Directory

Locations

1301 N Orange Ave
Ste 104
Green Cove Springs, FL 32043

9951 Atlantic Blvd
Ste 220
Jacksonville, FL 32225
Phone (904) 298-2273

NPI Registry JSON

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

{
    "created_epoch": "1307836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1083909659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9951 ATLANTIC BLVD",
            "address_2": "SUITE 220",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32225",
            "telephone_number": "904-298-2273",
            "fax_number": "904-298-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9951 ATLANTIC BLVD",
            "address_2": "SUITE 220",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32225",
            "telephone_number": "904-298-2273",
            "fax_number": "904-298-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR SENIOR & DISABLED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-12",
        "last_updated": "2023-11-02",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "904-298-2273",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.