MEDICARE: SUPERIOR HOME HEALTH 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	:	1447052766
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUPERIOR HOME HEALTH LLC.

Provider Business Mailing Address
First Line	:	720 W WILSHIRE BLVD STE 110
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-7737
Country	:	US
Telephone Number	:	405-849-6893
Fax Number	:	405-849-9182

Provider Business Practice Location Address
First Line	:	720 W WILSHIRE BLVD STE 110
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-7737
Country	:	US
Telephone Number	:	405-849-6893
Fax Number	:	405-849-9182

Authorized Official
Title or Position	:	CEO/ADMINISTRATOR
Name	:	MRS. WENDY WANDELLA ABLES
Credential	:	MBA
Telephone Number	:	405-849-6893

Provider Enumeration Date	:	03/26/2025
Last Update Date	:	03/26/2025

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