Organization Active NPI

Superior Home Care Nursing, LLC

  • Home Health Agency
  • Lakeville, MN
National Provider Identifier
1245604453
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUPERIOR HOME CARE NURSING, LLC
Practice address
10603 165TH St W
Lakeville, MN 55044-3514
Phone
(952) 898-5400
Fax
(952) 898-5454
NPI assigned
Nov 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Authorized official

Name
Mr. Howard Gist Jones Jr.
Title
Member
Phone
(952) 898-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

10603 165TH St W
Lakeville, MN 55044-3514

Mailing address

10603 165TH St W
Lakeville, MN 55044-3514
Phone (952) 898-5400

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D1088676Superior Home Care Nursing LLC10603 - 165TH Street West, Lakeville, MN 55044Certificate of waiverSep 1, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1245604453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10603 165TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550443514",
            "telephone_number": "952-898-5400",
            "fax_number": "952-898-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10603 165TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550443514",
            "telephone_number": "952-898-5400",
            "fax_number": "952-898-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HOME CARE NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-25",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "GIST",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "952-898-5400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.