Active NPI
Superior Home Care Nursing, LLC
- Home Health Agency
- Lakeville, MN
National Provider Identifier
1245604453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D1088676 | Superior Home Care Nursing LLC | Certificate of waiver | Sep 1, 2026 |
National Provider Directory
National Provider DirectoryNPI 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
- Suite Living Senior Care of Lakeville
- Summit Orthopedics, LTD
- Summit Orthopedics, LTD
- Summit Reentry LLC
- Sunflower Bloom Acupuncture and Healing Arts LLC
- Superior Home Health Care 10603, LLC
- Superior Home Health Care, Incorporated
- Supervalu Pharmacies Inc
- Supervalu Pharmacies Inc
- Supervalu Pharmacies Inc
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.