Super Health Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

72006757 Issued in CO

Legal business name

SUPER HEALTH CARE, INC

Practice address

6795 E Tennessee Avenue
Suite 225
Denver, CO 80224

Phone

(303) 991-1009

Fax

(303) 388-3152

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Marina Grenkel

Title

Administrator

Phone

(303) 991-1009

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881806057. Details of each certification follow.

• CCN 067443 Home health agency · Active · Details

Home health agency certification: CCN 067443

Legal name

SUPER HEALTH CARE, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 28, 2004

Last certification

Jan 10, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 22, 2004 in CO

Enrollment address

6795E Tennessee Ave 225
Denver, CO 80224-1621

Listed as

Super Health Care IncorporatedCCN 067443 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Dec 28, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Dmitriy I Pales, DO

  • Hospitalist Physician
  • Centennial, CO
  • NPI 1548282700

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881806057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6795 E TENNESSEE AVENUE",
            "address_2": "SUITE 225",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80224",
            "telephone_number": "303-991-1009",
            "fax_number": "303-388-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6795 E TENNESSEE AVENUE",
            "address_2": "SUITE 225",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80224",
            "telephone_number": "303-991-1009",
            "fax_number": "303-388-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRENKEL",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-991-1009",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "72006757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72006757",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunrise Radiation Oncology, PC
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• Sunup Speech and Language Therapy LLC
• Andrea Supe, PA-C
• Super Home Care LLC
• Super Home Care LLC
• Super Home Care LLC
• Superior Wound Care, LLC
• Angela Supoyo, RBT

• Home Health Agency in Denver, CO
• Providers in Denver, CO by specialty
• Home Health Agency in Colorado

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.