Healthcare Provider Details

I. General information

NPI: 1174060453
Provider Name (Legal Business Name): SUPERIOR SOLUTIONS, PLLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2017
Last Update Date: 07/10/2024
Certification Date: 07/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BLAKENROD BLVD
COXS CREEK KY
40013-6560
US

IV. Provider business mailing address

1970 ICETOWN RD
BOSTON KY
40107-8463
US

V. Phone/Fax

Practice location:
  • Phone: 502-331-3005
  • Fax: 844-688-4401
Mailing address:
  • Phone: 502-331-3005
  • Fax: 844-688-4401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number162980
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 8
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 9
Primary TaxonomyY
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number StateKY

VIII. Authorized Official

Name: SAVANA CULVER BARNES
Title or Position: OWNER AND EXECUTIVE DIRECTOR
Credential: BAH COTA/L AND ED
Phone: 502-331-3005