Superior Season in-Home, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUPERIOR SEASON IN-HOME, LLC

Practice address

205 E US Highway 80
White Oak, TX 75693-2103

Phone

(430) 625-7183

Fax

(430) 625-7177

NPI assigned

Dec 14, 2022

Last updated

Feb 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shellonda Pruitt

Title

Administrator/Owner

Phone

(903) 215-9411

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1518679133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E US HIGHWAY 80",
            "city": "WHITE OAK",
            "state": "TX",
            "postal_code": "756932103",
            "telephone_number": "430-625-7183",
            "fax_number": "430-625-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E US HIGHWAY 80",
            "city": "WHITE OAK",
            "state": "TX",
            "postal_code": "756932103",
            "telephone_number": "430-625-7183",
            "fax_number": "430-625-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR SEASON IN-HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "SHELLONDA",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "903-215-9411"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in White Oak, TX
• Providers in White Oak, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.