NPIMap

Organization Active NPI

Superior Home Health Care 10603, LLC

  • Home Health Agency
  • Lakeville, MN
National Provider Identifier
1821425794
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
364481 Issued in MN
Legal business name
SUPERIOR HOME HEALTH CARE 10603, LLC
Practice address
10603 165TH St W
Lakeville, MN 55044-3514
Phone
(952) 898-5400
Fax
(952) 898-5454
NPI assigned
Oct 8, 2013
Last updated
Oct 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Authorized official

Name
Mr. Howard Gist Jones Jr.
Title
President
Phone
(952) 898-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 364481 MN Primary

Addresses

Primary practice location

10603 165TH St W
Lakeville, MN 55044-3514

Mailing address

10603 165TH St W
Lakeville, MN 55044-3514
Phone (952) 898-5400

Other identifiers 1

IdentifierTypeStateIssuer
H28996OtherMNMINNESOTA DEPARTMENT OF HEALTH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1821425794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10603 165TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550443514",
            "telephone_number": "952-898-5400",
            "fax_number": "952-898-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10603 165TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550443514",
            "telephone_number": "952-898-5400",
            "fax_number": "952-898-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HOME HEALTH CARE 10603, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "GIST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-898-5400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "364481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA DEPARTMENT OF HEALTH",
            "identifier": "H28996",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.