Organization Active NPI

Superstar Home Health Care Inc

  • Home Health Agency
  • Doral, FL
National Provider Identifier
1407055544
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
800022488 Issued in FL
Legal business name
SUPERSTAR HOME HEALTH CARE INC
Practice address
4815 NW 79TH Ave Ste 17
Doral, FL 33166-5437
Phone
(305) 221-7077
Fax
(305) 221-7078
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Authorized official

Name
Vivian Augustine
Title
President
Phone
(305) 221-7077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 800022488 FL Primary

Addresses

Primary practice location

4815 NW 79TH Ave Ste 17
Doral, FL 33166-5437

Mailing address

4815 NW 79TH Ave Ste 17
Doral, FL 33166-5437
Phone (305) 221-7077

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1407055544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 NW 79TH AVE STE 17",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331665437",
            "telephone_number": "305-221-7077",
            "fax_number": "305-221-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 NW 79TH AVE STE 17",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331665437",
            "telephone_number": "305-221-7077",
            "fax_number": "305-221-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERSTAR HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "AUGUSTINE",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-221-7077"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "800022488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.