Organization Active NPI

Superior Care Home Health

  • Home Health Agency
  • Milwaukee, WI
National Provider Identifier
1609373646
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUPERIOR CARE HOME HEALTH
Practice address
3741 W National Ave Ste 101
Milwaukee, WI 53215-1050
Phone
(414) 800-6627
Fax
(414) 539-3144
NPI assigned
Apr 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Authorized official

Name
Brandy Bender, RN
Title
Owner, Administrator
Phone
(414) 800-6627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3741 W National Ave Ste 101
Milwaukee, WI 53215-1050

Mailing address

3741 W National Ave Ste 101
Milwaukee, WI 53215-1050

Other identifiers 1

IdentifierTypeStateIssuer
100064583MedicaidWI

National Provider Directory

National Provider Directory

Locations

3741 W National Ave
Ste 101
Milwaukee, WI 53215
Phone (414) 800-6627

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1609373646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3741 W NATIONAL AVE STE 101",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532151050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3741 W NATIONAL AVE STE 101",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532151050",
            "telephone_number": "414-800-6627",
            "fax_number": "414-539-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR CARE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "OWNER, ADMINISTRATOR",
        "authorized_official_telephone_number": "414-800-6627",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100064583",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.