MEDICARE: SUPERIOR HOME HEALTH SERVICES LLC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1922573013
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUPERIOR HOME HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	350 LINCOLN RD FL 2
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-3154
Country	:	US
Telephone Number	:	305-985-6227
Fax Number	:	314-985-6227

Provider Business Practice Location Address
First Line	:	350 LINCOLN RD FL 2
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-3154
Country	:	US
Telephone Number	:	305-985-6227
Fax Number	:	314-985-6227

Authorized Official
Title or Position	:	OWNER
Name	:	SARA NICOLE WINBUSH
Credential	:
Telephone Number	:	305-985-6227

Provider Enumeration Date	:	10/04/2018
Last Update Date	:	10/04/2018

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