MEDICARE: KT'S SUPERIOR CARE INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	376J00000X	Homemaker
2	251J00000X	Nursing Care Agency
3	374U00000X	Home Health Aide
4	251E00000X	Home Health Agency
5	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124741327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KT'S SUPERIOR CARE INC

Provider Business Mailing Address
First Line	:	3600 S STATE ROAD 7 STE 36
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33023-5288
Country	:	US
Telephone Number	:	954-417-5908
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 S STATE ROAD 7 STE 36
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33023-5288
Country	:	US
Telephone Number	:	954-417-5908
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. LATRICE AUSTIN
Credential	:
Telephone Number	:	786-295-7033

Provider Enumeration Date	:	09/22/2022
Last Update Date	:	05/31/2026

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Directions to “KT'S SUPERIOR CARE INC ” Practice Location

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