Healthcare Provider Details

I. General information

NPI: 1174781645
Provider Name (Legal Business Name): SUPERIOR SENIOR CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2008
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 W GRAND AVE
HOT SPRINGS AR
71913-3530
US

IV. Provider business mailing address

620 OUACHITA AVE
HOT SPRINGS AR
71901-3920
US

V. Phone/Fax

Practice location:
  • Phone: 501-321-1743
  • Fax: 501-623-7853
Mailing address:
  • Phone: 501-321-1743
  • Fax: 501-623-7853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number141026765
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: QUINCY HURST
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 501-321-1743