Superior Health Care Providers, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUPERIOR HEALTH CARE PROVIDERS, INC.

Practice address

555 N Benson Ave Ste B
Upland, CA 91786-5075

Phone

(909) 946-0186

NPI assigned

Oct 12, 2020

Organization subpart

No

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

Authorized official

Name

Inna Aguda

Title

Owner

Phone

(909) 739-3016

Specialties & licenses 1

Addresses

Other names 1

• Superior Home Health Care Services, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757354

Legal name

SUPERIOR HEALTH CARE PROVIDERS INC

Doing business as

SUPERIOR HOME HEALTH CARE SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 17, 2022

Last certification

Nov 4, 2022

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jan 23, 2020 in CA

Enrollment address

555 N Benson Ave
Ste B
Upland, CA 91786-5075

Listed as

Superior Home Health Care Services, IncCCN 757354

Ownership

Proprietary

Certified

Nov 17, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1346848405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N BENSON AVE STE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865075",
            "telephone_number": "909-946-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N BENSON AVE STE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865075",
            "telephone_number": "909-946-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HEALTH CARE PROVIDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "AGUDA",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-739-3016"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Home Health Care Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Upland, CA
• Providers in Upland, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.