HP Superior Inc
Organization Active NPI Skilled Nursing Facility · Superior, WI
NPI 1356374367 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1356374367
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 2578 (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
- Organization subpart
- No
Authorized official
- Name
- Mr. Douglas K Mittleider
- Title
- President
- Phone
- (770) 619-0866
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2578 | WI | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20192500 | Medicaid | WI |
Other providers in Superior, WI
- Home Medical Products and Services, LLC
- Alexus Fay Houman
- Katie Lange Howard
- Jean Elise Hoyer
- Jauneen Hoyt
- HRC Mental Health Center
- Bobbi Marie-Ann Huotari
- Sandra Lee Hurin
- Maureen Nicole Hyde
- Blaire Marie Hysjulien
All providers in Superior, WI · Skilled Nursing Facility in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.