Organization Active NPI

Superior Love

  • Point of Service
  • Flint, MI
National Provider Identifier
1225371495
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
1013271923 Issued in MI
Legal business name
SUPERIOR LOVE
Practice address
4205 Pengelly Rd
Flint, MI 48507-5430
Phone
(810) 288-1155
NPI assigned
Apr 5, 2013
Last updated
Apr 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Authorized official

Name
Mrs. Christina Thompson
Title
Vice- President
Phone
(810) 288-1155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 1013271923 MI Primary

Addresses

Primary practice location

4205 Pengelly Rd
Flint, MI 48507-5430

Mailing address

609 E Baltimore Blvd
Flint, MI 48505-6404
Phone (810) 423-0857

National Provider Directory

National Provider Directory
Tax ID family
Superior Love2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1225371495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 E BALTIMORE BLVD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485056404",
            "telephone_number": "810-423-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 PENGELLY RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485075430",
            "telephone_number": "810-288-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR LOVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-05",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "VICE- PRESIDENT",
        "authorized_official_telephone_number": "810-288-1155",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MI",
            "license": "1013271923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.