Active NPI
Superior Home Care
- Home Health Aide
- Auburndale, FL
National Provider Identifier
1497014195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- CNA190825
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 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.