NPIMap

Organization Active NPI

Superior Innovative Services, LLC

  • In Home Supportive Care Agency
  • Castle Hayne, NC
National Provider Identifier
1164795530
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SUPERIOR INNOVATIVE SERVICES, LLC
Practice address
5000 Blue Clay Rd Suite Q
Building 24G
Castle Hayne, NC 28429
Phone
(910) 746-0396
Fax
(910) 746-0396
NPI assigned
Feb 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Authorized official

Name
Mrs. Melissa Richardson Davis, LCSWNPI 1336298868
Title
Owner/Director
Phone
(910) 442-9042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5000 Blue Clay Rd Suite Q
Building 24G
Castle Hayne, NC 28429

Mailing address

PO Box 308
Hampstead, NC 28443
Phone (910) 319-1605

National Provider Directory

National Provider Directory

Locations

5000 Blue Clay Rd
Ste Q
Castle Hayne, NC 28429

233A Merchants Cir
Ste 201
Hampstead, NC 28443
Phone (910) 319-1605

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1164795530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "28443",
            "telephone_number": "910-319-1605",
            "fax_number": "910-319-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BLUE CLAY RD SUITE Q",
            "address_2": "BUILDING 24G",
            "city": "CASTLE HAYNE",
            "state": "NC",
            "postal_code": "28429",
            "telephone_number": "910-746-0396",
            "fax_number": "910-746-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR INNOVATIVE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "RICHARDSON",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "910-442-9042",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Hayne, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.