Organization Active NPI

Superior Home Care Services, LLC

  • In Home Supportive Care Agency
  • Lawrenceville, GA
National Provider Identifier
1538776570
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SUPERIOR HOME CARE SERVICES, LLC
Practice address
2242 Young America Dr
Lawrenceville, GA 30043-8011
Phone
(214) 797-2394
NPI assigned
Sep 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Authorized official

Name
Cyprian Irabor
Title
Owner
Phone
(214) 797-2394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2242 Young America Dr
Lawrenceville, GA 30043-8011

Mailing address

2242 Young America Dr
Lawrenceville, GA 30043-8011

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1538776570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2242 YOUNG AMERICA DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2242 YOUNG AMERICA DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438011",
            "telephone_number": "214-797-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "IRABOR",
        "authorized_official_first_name": "CYPRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-797-2394"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.