MEDICARE: SUPERIOR HOME CARE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1104991462
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUPERIOR HOME CARE, INC

Provider Business Mailing Address
First Line	:	1709 N. LONG STREET
Second Line	:
City	:	SALISBURY
State	:	NC
Zip	:	28144-4430
Country	:	US
Telephone Number	:	704-647-9662
Fax Number	:	704-647-9663

Provider Business Practice Location Address
First Line	:	1709 N. LONG STREET
Second Line	:
City	:	SALISBURY
State	:	NC
Zip	:	28144-4430
Country	:	US
Telephone Number	:	704-647-9662
Fax Number	:	704-647-9663

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. SHERRY HARGRAVE
Credential	:
Telephone Number	:	704-647-9662

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	08/25/2022

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