Superior Ops, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SUPERIOR OPS, LLC

Doing business as

Lighthouse of Superior

Practice address

1915 N 34TH St
Superior, WI 54880-5575

Phone

(218) 721-2800

NPI assigned

Jul 11, 2012

Organization subpart

No

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

Authorized official

Name

Brian Patterson

Title

Executive Director

Phone

(218) 721-2800

Specialties & licenses 1

Addresses

Other names 1

• Lighthouse of Superior Doing business as

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1679838007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 N 34TH ST",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805575",
            "telephone_number": "218-721-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 N 34TH ST",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805575",
            "telephone_number": "218-721-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR OPS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "218-721-2800"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse of Superior",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Superior Rehabilitation Center LLC
• Superior School District

• Assisted Living Facility in Superior, WI
• Providers in Superior, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.