Organization Active NPI

Superior Home Care

  • Home Health Aide
  • Auburndale, FL
National Provider Identifier
1497014195
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
CNA190825 Issued in FL
Legal business name
SUPERIOR HOME CARE
Practice address
1597 Doves View Cir
Auburndale, FL 33823-2754
Phone
(863) 409-1835
Fax
(863) 875-5977
NPI assigned
May 15, 2012
Organization subpart
Yes
Parent organization
GOD'S LOVINGCARE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Authorized official

Name
Mrs. Antoinette Marie Rich-Payne
Title
Treasure
Phone
(863) 409-1835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X CNA190825 FL Primary

Addresses

Primary practice location

1597 Doves View Cir
Auburndale, FL 33823-2754

Mailing address

PO Box 91665
Lakeland, FL 33804-1665
Phone (863) 409-1835

National Provider Directory

National Provider Directory
Part of
Superior Home Care

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1497014195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91665",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338041665",
            "telephone_number": "863-409-1835",
            "fax_number": "863-875-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1597 DOVES VIEW CIR",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338232754",
            "telephone_number": "863-409-1835",
            "fax_number": "863-875-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HOME CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOD'S LOVINGCARE INC.",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "RICH-PAYNE",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "TREASURE",
        "authorized_official_telephone_number": "863-409-1835",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "CNA190825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburndale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.