Healthcare Provider Details

I. General information

NPI: 1427246719
Provider Name (Legal Business Name): SUPERB HEALTHCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2007
Last Update Date: 09/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4480 GENERAL DEGAULLE DR
NEW ORLEANS LA
70131-6941
US

IV. Provider business mailing address

PO BOX 6742
NEW ORLEANS LA
70174-6742
US

V. Phone/Fax

Practice location:
  • Phone: 504-975-1242
  • Fax: 504-367-8592
Mailing address:
  • Phone: 504-975-1242
  • Fax: 504-367-8592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MS. NIENGALA ALPHANETTE DUKES
Title or Position: ADMINISTRATIVE DIRECTOR
Credential:
Phone: 504-975-1242