Organization Active NPI

Superb Home Care Inc

  • Home Health Agency
  • Dunn, NC
National Provider Identifier
1912097122
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC2460 Issued in NC
Legal business name
SUPERB HOME CARE INC
Practice address
305 A Tilghman Drive
Dunn, NC 28334
Phone
(910) 892-5051
Fax
(910) 892-8845
NPI assigned
Oct 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
Mr. Wade Wayne Perry Sr., ATTORNEY
Title
President
Phone
(919) 680-8600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC2460 NC Primary
Home Health Agency 251E00000X HC2560 NC

Addresses

Primary practice location

305 A Tilghman Drive
Dunn, NC 28334

Mailing address

PO Box 884
Durham, NC 27702
Phone (919) 680-8600

Other identifiers 3

IdentifierTypeStateIssuer
6601117OtherPCS
6601027OtherPCS
3409649OtherCAP

National Provider Directory

National Provider Directory

Locations

305A Tilghman Dr
Dunn, NC 28334
Phone (910) 892-5051

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912097122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 884",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27702",
            "telephone_number": "919-680-8600",
            "fax_number": "919-680-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 A TILGHMAN DRIVE",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "28334",
            "telephone_number": "910-892-5051",
            "fax_number": "910-892-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERB HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-680-8600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "ATTORNEY"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2460",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2560",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PCS",
            "identifier": "6601117",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PCS",
            "identifier": "6601027",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP",
            "identifier": "3409649",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn, NC

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.