Healthcare Provider Details

I. General information

NPI: 1851444541
Provider Name (Legal Business Name): SUPERIOR HEALTH CAREGIVERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2912 CRIPPLE CREEK CT
MONROE NC
28110-5223
US

IV. Provider business mailing address

2912 CRIPPLE CREEK CT
MONROE NC
28110-5223
US

V. Phone/Fax

Practice location:
  • Phone: 704-283-2246
  • Fax: 704-283-2276
Mailing address:
  • Phone: 704-283-2246
  • Fax: 704-283-2276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC3625
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberHC3625
License Number StateNC

VIII. Authorized Official

Name: MS. TARRA MARSH BOYD
Title or Position: DIRECTOR
Credential: RN
Phone: 704-283-2246