MEDICARE: SUPERIOR HOME HEALTH OF LAS VEGAS 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1316089311
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUPERIOR HOME HEALTH OF LAS VEGAS LLC

Provider Business Mailing Address
First Line	:	8000 VANTAGE DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-4781
Country	:	US
Telephone Number	:	210-558-7710
Fax Number	:	210-558-7724

Provider Business Practice Location Address
First Line	:	3033 W HORIZON RIDGE PKWY
Second Line	:	STE 100
City	:	HENDERSON
State	:	NV
Zip	:	89052-3838
Country	:	US
Telephone Number	:	702-897-8489
Fax Number	:	702-897-9249

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. BELINDA JUAREZ
Credential	:
Telephone Number	:	702-897-8489

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	11/06/2013

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