Super Home Care LLC

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

SUPER HOME CARE LLC

Doing business as

super home care llc

Practice address

1230 S Parker Rd Ste 217
1230 S Parker Rd Ste 217
Denver, CO 80231-2119

Phone

(303) 728-9154

Fax

(303) 728-9154

NPI assigned

May 21, 2020

Organization subpart

No

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

Authorized official

Name

Mohamed Elias Omer

Title

Owner -Manager

Phone

(720) 829-9083

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• super home care llc Doing business as

Electronic endpoints 2

Tax ID family

Super Home Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Super Home Care LLC

  • Home Delivered Meals
  • Denver, CO
  • NPI 1053071530
  NPD tax ID
• Super Home Care LLC

  • In Home Supportive Care Agency
  • Denver, CO
  • NPI 1558981845
  NPD tax ID

Locations

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1780207977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 S PARKER RD STE 217",
            "address_2": "1230 S PARKER RD STE 217",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802312119",
            "telephone_number": "303-728-9154",
            "fax_number": "303-728-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 S PARKER RD STE 217",
            "address_2": "1230 S PARKER RD STE 217",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802312119",
            "telephone_number": "303-728-9154",
            "fax_number": "303-728-9154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 Quince St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802306188",
            "country_code": "US",
            "telephone_number": "720-829-9083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUPER HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "OMER",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "ELIAS",
        "authorized_official_title_or_position": "OWNER -MANAGER",
        "authorized_official_telephone_number": "720-829-9083"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMEMAKER CES/SLS",
            "identifier": "112440310",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "superhcare.com",
            "affiliation": "N",
            "endpointDescription": "superhcare.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "715 Quince St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802306188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://superhcare.wixsite.com/website",
            "affiliation": "N",
            "endpointDescription": "webside",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1230 S Parker Rd Ste 217",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802312119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "super home care llc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "super home care llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Homemaker in Denver, CO
• Providers in Denver, CO by specialty
• Homemaker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.