Healthcare Provider Details

I. General information

NPI: 1174440887
Provider Name (Legal Business Name): SUPER QUALITY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1083 HICKS BLVD STE 15
FAIRFIELD OH
45014-2880
US

IV. Provider business mailing address

1083 HICKS BLVD STE 15
FAIRFIELD OH
45014-2880
US

V. Phone/Fax

Practice location:
  • Phone: 513-790-7596
  • Fax:
Mailing address:
  • Phone: 513-790-7596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: PASHUPATI MAINALI
Title or Position: OFFICE ADMIN
Credential:
Phone: 513-284-9986