Superior Care & Support, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

SUPERIOR CARE & SUPPORT, LLC

Doing business as

SUPERIOR CARE & SUPPORT, LLC

Practice address

4355 Ridgewood Center Dr
Woodbridge, VA 22192-5308

Phone

(703) 665-4479

Fax

(703) 291-8287

NPI assigned

Mar 12, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Musa S Bangura Sr., RN

Title

Program Director

Phone

(571) 247-6503

Specialties & licenses 1

Addresses

Other names 1

• SUPERIOR CARE & SUPPORT, LLC Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1750966628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 RIDGEWOOD CENTER DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925308",
            "telephone_number": "703-665-4479",
            "fax_number": "703-291-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 RIDGEWOOD CENTER DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925308",
            "telephone_number": "703-665-4479",
            "fax_number": "703-291-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR CARE & SUPPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "BANGURA",
        "authorized_official_first_name": "MUSA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "571-247-6503",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "superiocaresllc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "company secured email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4355 Ridgewood Center Dr",
            "city": "Woodbridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221925308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SUPERIOR CARE & SUPPORT, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.