Organization Active NPI

Super Star Staff Coordinator Service,Inc

Doing business as Super Star Home Care

  • Home Health Agency
  • Hialeah, FL
National Provider Identifier
1326297029
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUPER STAR STAFF COORDINATOR SERVICE,INC
Doing business as
Super Star Home Care
Practice address
1490 W 49TH PL Ste 445
Hialeah, FL 33012-3196
Phone
(305) 556-2880
NPI assigned
Sep 17, 2008
Last updated
Sep 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Ms. Mayra Ruiz
Title
Owner
Phone
(305) 556-2880

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X FL Primary
Clinical Medical Laboratory 291U00000X FL

Addresses

Primary practice location

1490 W 49TH PL Ste 445
Hialeah, FL 33012-3196

Mailing address

1490 W 49TH PL Ste 445
Hialeah, FL 33012-3196
Phone (305) 556-2880

Other names 1

  • SUPER STAR HOME CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Super Star Home Care2 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.

Locations

1490 W 49th Pl
Ste 445
Hialeah, FL 33012
Phone (305) 556-2880

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1326297029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 W 49TH PL STE 445",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123196",
            "telephone_number": "305-556-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 W 49TH PL STE 445",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123196",
            "telephone_number": "305-556-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER STAR STAFF COORDINATOR SERVICE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-556-2880",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPER STAR HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.