NPIMap

Organization Active NPI

Superior Healthcare Services

  • Community/Behavioral Health Agency
  • Wadesboro, NC
National Provider Identifier
1801907993
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUPERIOR HEALTHCARE SERVICES
Practice address
913 E. Casswell St
Wadesboro, NC 28170-4934
Phone
(704) 694-9135
Fax
(704) 694-3011
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
Mr. Jason Christopher Jones
Title
Ceo
Phone
(704) 361-2756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

913 E. Casswell St
Wadesboro, NC 28170-4934

Mailing address

PO Box 690547
Charlotte, NC 28227-7010
Phone (704) 563-6262

Other identifiers 5

IdentifierTypeStateIssuer
8300692BMedicaidNC
8300692KMedicaidNC
8300692HMedicaidNC
8300692GMedicaidNC
8300692RMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Superior Healthcare Services11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

913 E Caswell St
Wadesboro, NC 28170
Phone (704) 694-9135

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1801907993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690547",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282277010",
            "telephone_number": "704-563-6262",
            "fax_number": "704-563-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 E. CASSWELL ST",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281704934",
            "telephone_number": "704-694-9135",
            "fax_number": "704-694-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-361-2756",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300692B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300692K",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300692H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300692G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300692R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.