Superior Pro-Care Home Provider

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUPERIOR PRO-CARE HOME PROVIDER

Doing business as

Superior Pro Care Home Provider

Practice address

1421 Dalton St
Jackson, MS 39204-2806

Phone

(769) 447-5458

Fax

(769) 447-5451

NPI assigned

Sep 1, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia T Clayton, EXECUTIVE MANAGERNPI 1811436876

Title

Provider

Phone

(769) 447-5458

Specialties & licenses 1

Addresses

Other names 2

• Superior Pro Care Home Provider Doing business as
• Superior Pro-Care Home Provider Former legal business name

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.

• Patricia Clayton, PCP

  • Home Health Aide
  • Jackson, MS
  • NPI 1811436876
  Authorized official Same address or phone

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1851819585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 DALTON ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392042806",
            "telephone_number": "769-447-5458",
            "fax_number": "769-447-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 DALTON ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392042806",
            "telephone_number": "769-447-5458",
            "fax_number": "769-447-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR PRO-CARE HOME PROVIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "769-447-5458",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EXECUTIVE MANAGER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Pro Care Home Provider",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Superior Pro-Care Home Provider",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sunny Days at Home Healthcare, LLC
• Sunny Seas Medical Supplies, LLC
• Sunrise Prosthetics and Orthotics
• Super D Drugs Acquisition Co (Super D Drugs)
• Super D Drugs Acquisition Co (Super D Drugs)
• Supportive Connections Community Services (SCCS)
• Surgical Anesthesia Associates, PA
• Surgicare of Jackson LTD
• Bret Surles, MD
• James W Sutherland, M.D.

• Home Health Agency in Jackson, MS
• Providers in Jackson, MS by specialty
• Home Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.