Organization Active NPI

Superior in-Home Care, Inc.

  • Home Health Agency
  • Pensacola, FL
National Provider Identifier
1780797795
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
21148096 Issued in FL
Legal business name
SUPERIOR IN-HOME CARE, INC.
Practice address
2400 W Michigan Ave
Unit 21
Pensacola, FL 32526-2200
Phone
(850) 457-1601
Fax
(850) 455-5260
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Melissa Ann Ellis, REGISTERED NURSE
Title
Administrator
Phone
(850) 457-1601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 21148096 FL Primary

Addresses

Primary practice location

2400 W Michigan Ave
Unit 21
Pensacola, FL 32526-2200

Mailing address

2400 W Michigan Ave
Unit 21
Pensacola, FL 32526-2200
Phone (850) 457-1601

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780797795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 W MICHIGAN AVE",
            "address_2": "UNIT 21",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325262200",
            "telephone_number": "850-457-1601",
            "fax_number": "850-455-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W MICHIGAN AVE",
            "address_2": "UNIT 21",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325262200",
            "telephone_number": "850-457-1601",
            "fax_number": "850-455-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR IN-HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-457-1601",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "21148096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.