Organization Active NPI

Superior Home Care LLC

  • Home Health Agency
  • Rochester, NY
National Provider Identifier
1275051336
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUPERIOR HOME CARE LLC
Practice address
16 North Goodman Street
Suite 113
Rochester, NY 14607
Phone
(585) 270-5990
Fax
(585) 270-5974
NPI assigned
Sep 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Abdirashid Omar Mohamud
Title
Ceo/President
Phone
(585) 694-1283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

16 North Goodman Street
Suite 113
Rochester, NY 14607

Mailing address

16 N Goodman St Ste 113
Rochester, NY 14607-1554
Phone (585) 270-5990

National Provider Directory

National Provider Directory

Locations

16 N Goodman St
Ste 113
Rochester, NY 14607
Phone (585) 270-5990

NPI Registry JSON

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1275051336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 N GOODMAN ST STE 113",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071554",
            "telephone_number": "585-270-5990",
            "fax_number": "585-270-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 NORTH GOODMAN STREET",
            "address_2": "SUITE 113",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14607",
            "telephone_number": "585-270-5990",
            "fax_number": "585-270-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MOHAMUD",
        "authorized_official_first_name": "ABDIRASHID",
        "authorized_official_middle_name": "OMAR",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "585-694-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.