Superior Care Home, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SUPERIOR CARE HOME, INC

Practice address

100 Marshall Court
Paducah, KY 42001-4075

Phone

(270) 442-6884

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Helen Sims

Title

Owner

Phone

(270) 442-6884

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1558475293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MARSHALL COURT",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420014075",
            "telephone_number": "270-442-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MARSHALL COURT",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420014075",
            "telephone_number": "270-442-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR CARE HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-442-6884"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100312",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000054705",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Summers
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• Stephanie Renee Sunberg
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• Surgical Group of Paducah P.S.C.
• Surgical Group PSC
• Daniel Sussman, M.D.
• Alexandra Sutherland
• Gayle Moss Sutherland

• Skilled Nursing Facility in Paducah, KY
• Providers in Paducah, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.