Superior Home Care Serivces LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUPERIOR HOME CARE SERIVCES LLC

Practice address

2252 Gradison Dr
Indianapolis, IN 46214-2055

Phone

(317) 208-0628

NPI assigned

Feb 15, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Kisha Wilson

Title

Owner

Phone

(317) 208-0638

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713657600000",
    "number": "1306544739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 S LYNHURST DR STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462415100",
            "telephone_number": "317-208-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2252 GRADISON DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462142055",
            "telephone_number": "317-208-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HOME CARE SERIVCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2024-04-21",
        "certification_date": "2024-04-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-208-0638",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300074030",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brent A Suozzi, MD
• Theresa Suozzi, MD
• Nucharin Supakul, M.D.
• Andrea Nicole Supe, P.T.
• Superior Elegance Care LLC
• Superior Van & Mobility
• Abigail Supple
• Supporting Hands LLC
• Supportive Home Health LLC
• Supportive Homecare Services LLC

• Home Health Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2024; 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.