Healthcare Provider Details
I. General information
NPI: 1922927508
Provider Name (Legal Business Name): SUPERB HOMECARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1144 EXECUTIVE CIR
CARY NC
27511-4573
US
IV. Provider business mailing address
3607 JETSTREAM DR NW
WILSON NC
27896-8633
US
V. Phone/Fax
- Phone: 984-326-0970
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRITTANY
WILLARD
Title or Position: OWNER
Credential:
Phone: 984-326-0970