Superior Senior Home Care Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SUPERIOR SENIOR HOME CARE INC

Doing business as

Superior Senior Home Care

Practice address

320 E Walnut Ave
Lompoc, CA 93436-6835

Phone

(805) 737-4357

NPI assigned

Feb 17, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Pablo Sandoval Martinez

Title

Ceo

Phone

(805) 588-0213

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Superior Senior Home Care Doing business as

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1689267049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E WALNUT AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366835",
            "telephone_number": "805-737-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E WALNUT AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366835",
            "telephone_number": "805-737-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR SENIOR HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "PABLO",
        "authorized_official_middle_name": "SANDOVAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-588-0213",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "C0790621",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Senior Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jahyra Noelly Suarez, LVN
• Kristina Summers, SUDRC 9427
• Sunshine in-Home Care
• Superior Hospice Inc
• Superior Hospice, Inc.
• Derrick Dewayne Sweat, IDMT- PARAMEDIC
• Christina A Swift
• Jennifer Ta, CPNP
• Mohammad A Tabek Bakir, M.D.
• Brian J Taber, M.D.

• In Home Supportive Care Agency in Lompoc, CA
• Providers in Lompoc, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.