Superior Care Home Health Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299994443 Issued in FL

Legal business name

SUPERIOR CARE HOME HEALTH AGENCY LLC

Practice address

1320 SE Federal Hwy
Suite 202
Stuart, FL 34994-3407

Phone

(772) 678-6994

Fax

(877) 581-9583

NPI assigned

Jul 23, 2015

Organization subpart

No

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

Authorized official

Name

Eunice Ekufu, RN

Title

Administrator/Don

Phone

(772) 678-6994

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 687028

Legal name

SUPERIOR CARE HOME HEALTH AGENCY LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 10, 2019

Last certification

May 10, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jul 16, 2015 in FL

Enrollment address

1111 SE Federal Hwy
Ste 227
Stuart, FL 34994-3834

Listed as

Superior Care Home Health Agency LLCCCN 687028

Ownership

Proprietary

Certified

May 10, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

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

• Milouse Laguerre, APRN

  • Family Nurse Practitioner
  • Vero Beach, FL
  • NPI 1922677806
  NPD (past)

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1760867477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 SE FEDERAL HWY",
            "address_2": "SUITE 202",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943407",
            "telephone_number": "772-678-6994",
            "fax_number": "877-581-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 SE FEDERAL HWY",
            "address_2": "SUITE 202",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943407",
            "telephone_number": "772-678-6994",
            "fax_number": "877-581-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR CARE HOME HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "EKUFU",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_title_or_position": "ADMINISTRATOR/DON",
        "authorized_official_telephone_number": "772-678-6994",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299994443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016515900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1760867477",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "299994443",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.