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NPI Code Detail

MEDICARE: SUPERB HOME CARE, LLC.

MEDICARE: SUPERB HOME CARE, LLC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency36323601PA

General Provider Information

NPI Number : 1134623028
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUPERB HOME CARE, LLC.
Provider Business Mailing Address
First Line : 325 CHESTNUT ST STE 800
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19106-2608
Country : US
Telephone Number : 267-428-0777
Fax Number :
Provider Business Practice Location Address
First Line : 325 CHESTNUT ST STE 800
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19106-2608
Country : US
Telephone Number : 267-428-0777
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : EILEEN NOEL
Credential :
Telephone Number : 267-428-0777
Provider Enumeration Date : 03/23/2018
Last Update Date : 08/23/2019

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Directions to “SUPERB HOME CARE, LLC. ” Practice Location

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