Superior Home Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2005-HHA-823 Issued in UT

Legal business name

SUPERIOR HOME CARE, INC

Doing business as

Superior Home Care and Hospice

Practice address

184 E 5900 S
Murray, UT 84107-7230

Phone

(801) 254-3200

Fax

(801) 254-8680

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Andrea L Martinez

Title

Assistant Administrator

Phone

(801) 254-3200

Specialties & licenses 2

Addresses

Other names 1

• Superior Home Care and Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Enrollment records 2

Hospice certification: CCN 461536

Legal name

SUPERIOR HOME CARE, INC

Doing business as

SUPERIOR HOME CARE & HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 18, 2004

Last certification

Jan 25, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Oct 22, 1996 in UT

Enrollment address

184 E 5900 S
Murray, UT 84107-7230

Home health agency certification: CCN 467108

Legal name

SUPERIOR HOME CARE, INC

Doing business as

SUPERIOR HOME CARE AND HOSPICE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 9, 1996

Last certification

May 5, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Oct 22, 1996 in UT

Enrollment address

184 E 5900 S
Murray, UT 84107-7230

Listed as

Superior Home CareCCN 467108 · All quality measures

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Dec 9, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

Listed as

Superior HospiceCCN 461536 · All quality measures

Ownership

For-Profit

Certified

Mar 18, 2004

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Cherie Pratt Brunker, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Salt Lake City, UT
  • NPI 1215039961

  W-2 Managing Employee

  CMS ownership

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1366496846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 E 5900 S",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077230",
            "telephone_number": "801-254-3200",
            "fax_number": "801-254-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 E 5900 S",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077230",
            "telephone_number": "801-254-3200",
            "fax_number": "801-254-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "801-254-3200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "UT",
            "license": "2005-HHA-823",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "UT",
            "license": "2005-HOSPICE-55129",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Home Care and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.