Organization Active NPI

Superior Home Health & Wellness

  • Home Health Agency
  • Memphis, TN
National Provider Identifier
1962778373
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUPERIOR HOME HEALTH & WELLNESS
Practice address
1331 Union Ave
Suite 802
Memphis, TN 38104-3513
Phone
(901) 672-3393
NPI assigned
Mar 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Authorized official

Name
Lakeena Gholston
Title
Ceo
Phone
(901) 672-3393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1331 Union Ave
Suite 802
Memphis, TN 38104-3513

Mailing address

5076 Gold Stream LN
Memphis, TN 38125-3475
Phone (901) 672-3393

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1962778373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5076 GOLD STREAM LN",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381253475",
            "telephone_number": "901-672-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 UNION AVE",
            "address_2": "SUITE 802",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043513",
            "telephone_number": "901-672-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HOME HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "GHOLSTON",
        "authorized_official_first_name": "LAKEENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-672-3393"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.