Super Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUPER HOME CARE LLC

Doing business as

super home care llc

Practice address

155 NW 41St CT
Deerfield Beach, FL 33064-2634

Phone

(754) 249-7149

NPI assigned

Jul 14, 2022

Organization subpart

No

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

Authorized official

Name

Mirlande Metellus

Title

Manager

Phone

(754) 249-7149

Specialties & licenses 1

Addresses

Other names 1

• super home care llc Doing business as

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1215661186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 NW 41ST CT",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330642634",
            "telephone_number": "754-249-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 NW 41ST CT",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330642634",
            "telephone_number": "754-249-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "METELLUS",
        "authorized_official_first_name": "MIRLANDE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "754-249-7149"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "super home care llc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "super home care llc",
            "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 Oct 28, 2022; 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.