Organization Active NPI

Superior Managed Care, Inc.

Doing business as Southwest Home Health

  • Home Health Agency
  • El Paso, TX
National Provider Identifier
1427068980
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
005771 Issued in TX
Legal business name
SUPERIOR MANAGED CARE, INC.
Doing business as
Southwest Home Health
Practice address
11625 Pellicano Dr Ste B
El Paso, TX 79936-6242
Phone
(915) 591-0900
Fax
(915) 591-1430
NPI assigned
Aug 8, 2006
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. Gilbert Candelaria, RN MSN
Title
Administraor
Phone
(915) 591-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 005771 TX Primary

Addresses

Primary practice location

11625 Pellicano Dr Ste B
El Paso, TX 79936-6242

Mailing address

11625 Pellicano Dr Ste B
El Paso, TX 79936-6242
Phone (915) 591-0900

Other identifiers 1

IdentifierTypeStateIssuer
005771OtherTXSTATE LICENSE

Other names 1

  • Southwest Home Health Doing business as

National Provider Directory

National Provider Directory

Locations

11625 Pellicano Dr
#B
El Paso, TX 79936
Phone (915) 532-6004

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427068980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11625 PELLICANO DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366242",
            "telephone_number": "915-591-0900",
            "fax_number": "915-591-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11625 PELLICANO DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366242",
            "telephone_number": "915-591-0900",
            "fax_number": "915-591-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR MANAGED CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANDELARIA",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_title_or_position": "ADMINISTRAOR",
        "authorized_official_telephone_number": "915-591-0900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN MSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "005771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "005771",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

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.