Organization Active NPI

Super Home Care LLC

  • In Home Supportive Care Agency
  • Denver, CO
National Provider Identifier
1558981845
Registry record updated Feb 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SUPER HOME CARE LLC
Practice address
715 Quince St
Denver, CO 80230-6188
Phone
(720) 829-9083
NPI assigned
Apr 16, 2020
Last updated
Feb 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2022

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

Authorized official

Name
Mr. Mohamed Elias Omer
Title
Owmer -Manger
Phone
(720) 829-9083

Specialties & licenses 1

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

Addresses

Primary practice location

715 Quince St
Denver, CO 80230-6188

Mailing address

1230 S Parker Rd Ste 217
Denver, CO 80231-2119
Phone (720) 829-9083

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.superhcarecom.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Super Home Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645833600000",
    "number": "1558981845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 S PARKER RD STE 217",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802312119",
            "telephone_number": "720-829-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 QUINCE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306188",
            "telephone_number": "720-829-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-16",
        "last_updated": "2022-02-26",
        "certification_date": "2022-02-26",
        "status": "A",
        "authorized_official_last_name": "OMER",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "ELIAS",
        "authorized_official_title_or_position": "OWMER -MANGER",
        "authorized_official_telephone_number": "720-829-9083",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.superhcarecom.com",
            "affiliation": "N",
            "endpointDescription": "web",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "715 quince st denver co 80230",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "location",
            "address_1": "715 Quince St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802306188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2022; 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.