Healthcare Provider Details
I. General information
NPI: 1720913148
Provider Name (Legal Business Name): SUPERIOR REHABILITATION AND CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
35 N 28TH ST
SUPERIOR WI
54880-5557
US
IV. Provider business mailing address
724 TANWOOD DR
WEST HEMPSTEAD NY
11552-3234
US
V. Phone/Fax
- Phone: 715-392-3300
- Fax:
- Phone: 516-784-7709
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALAN
MARKOWITZ
Title or Position: PRESIDENT
Credential:
Phone: 516-784-7709