=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528239381
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SUPERIOR HOME HEALTH CARE,INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/19/2008
-----------------------------------------------------
Last Update Date | 03/19/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 105 W. MAIN STREET
-----------------------------------------------------
City | WILLIAMSTON
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27892-0372
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-217-7832
-----------------------------------------------------
Fax | 252-794-2400
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 372
-----------------------------------------------------
City | WILLIAMSTON
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27892-0372
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-217-7832
-----------------------------------------------------
Fax | 252-794-2400
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | KIMBERLY HILL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 252-217-7832
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------