Organization Active NPI

Superior Home Medical, Inc

  • Mastectomy Fitter
  • Monroe, NC
National Provider Identifier
1659801488
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mastectomy FitterTaxonomy code 224900000X
License
CFM02947 Issued in NC
Legal business name
SUPERIOR HOME MEDICAL, INC
Practice address
108 S Main St
Monroe, NC 28112-5541
Phone
(704) 225-0285
Fax
(704) 225-0287
NPI assigned
Jun 14, 2017
Organization subpart
Yes
Parent organization
SUPERIOR HOME MEDICAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Authorized official

Name
Mrs. Courtney Stevens Garrison, C.PED, CFMNPI 1316253735
Title
President
Phone
(704) 225-0285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mastectomy FitterGroup: 193200000X MULTI-SPECIALTY GROUP 224900000X CFM02947 NC Primary

Addresses

Primary practice location

108 S Main St
Monroe, NC 28112-5541

Mailing address

108 S Main St
Monroe, NC 28112-5541
Phone (704) 225-0285

Other identifiers 1

IdentifierTypeStateIssuer
7704221MedicaidNC

Other names 2

  • Boutique On Main Doing business as
  • Superior Home Medical, Inc Doing business as

National Provider Directory

National Provider Directory
Part of
Superior Home Medical Inc

Locations

108 S Main St
Monroe, NC 28112
Phone (704) 225-0285

201 N Main St
Ste 110
Monroe, NC 28112
Phone (980) 269-8382

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1659801488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S MAIN ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125541",
            "telephone_number": "704-225-0285",
            "fax_number": "704-225-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S MAIN ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125541",
            "telephone_number": "704-225-0285",
            "fax_number": "704-225-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HOME MEDICAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUPERIOR HOME MEDICAL, INC.",
        "enumeration_date": "2017-06-14",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "STEVENS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-225-0285",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.PED, CFM"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mastectomy Fitter",
            "state": "NC",
            "license": "CFM02947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704221",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boutique On Main",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Superior Home Medical, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.