MEDICARE: SUPERB HEALTHCARE INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	3747P1801X	Personal Care Attendant
2	372600000X	Adult Companion
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1427246719
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUPERB HEALTHCARE INC.

Provider Business Mailing Address
First Line	:	PO BOX 6742
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70174-6742
Country	:	US
Telephone Number	:	504-975-1242
Fax Number	:	504-367-8592

Provider Business Practice Location Address
First Line	:	4480 GENERAL DEGAULLE DR
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70131-6941
Country	:	US
Telephone Number	:	504-975-1242
Fax Number	:	504-367-8592

Authorized Official
Title or Position	:	ADMINISTRATIVE DIRECTOR
Name	:	MS. NIENGALA ALPHANETTE DUKES
Credential	:
Telephone Number	:	504-975-1242

Provider Enumeration Date	:	10/11/2007
Last Update Date	:	09/18/2010

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Directions to “SUPERB HEALTHCARE INC. ” Practice Location

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