1013503259 NPI number — SUPERIOR HOME CARE SERVICES, INC

Table of content: (NPI 1013503259)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013503259 NPI number — SUPERIOR HOME CARE SERVICES, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SUPERIOR HOME CARE SERVICES, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013503259
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/11/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2295
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CARLSBAD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92018-2295
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
760-814-9930
Provider Business Mailing Address Fax Number:
760-400-0976

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2182 S EL CAMINO REAL STE 205
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OCEANSIDE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92054-6207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-814-9930
Provider Business Practice Location Address Fax Number:
760-400-0976
Provider Enumeration Date:
12/11/2020

Additional Information

Authorized Official

Authorized Official Last Name:
FERNANDEZ-MANSILLA
Authorized Official First Name:
CESAR
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
760-505-1366

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 374700087 . This is a "DEPARTMENT OF SOCIAL SERVICES, HOME CARE DIVISION" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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