Organization Active NPI

HP Superior Inc

  • Skilled Nursing Facility
  • Superior, WI
National Provider Identifier
1356374367
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2578 Issued in WI
Legal business name
HP SUPERIOR INC
Practice address
1800 New York Ave
Superior, WI 54880-2008
Phone
(715) 394-5591
Fax
(715) 394-5098
NPI assigned
Jul 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Douglas K Mittleider
Title
President
Phone
(770) 619-0866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2578 WI Primary

Addresses

Primary practice location

1800 New York Ave
Superior, WI 54880-2008

Mailing address

925 N Point Pkwy
Suite 440
Alpharetta, GA 30005-5210
Phone (770) 619-0866

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356374367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N POINT PKWY",
            "address_2": "SUITE 440",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055210",
            "telephone_number": "770-619-0866",
            "fax_number": "770-870-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NEW YORK AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548802008",
            "telephone_number": "715-394-5591",
            "fax_number": "715-394-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HP SUPERIOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITTLEIDER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-619-0866",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.