Provider Demographics
NPI:1124306139
Name:SUPERIOR CARE SERVICES LLC
Entity type:Organization
Organization Name:SUPERIOR CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARRE-JAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-516-5272
Mailing Address - Street 1:2151 E DUBLIN GRANVILLE RD STE 208
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3519
Mailing Address - Country:US
Mailing Address - Phone:614-516-5272
Mailing Address - Fax:614-448-4490
Practice Address - Street 1:2151 E DUBLIN GRANVILLE RD STE 208
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3519
Practice Address - Country:US
Practice Address - Phone:614-516-5272
Practice Address - Fax:614-448-4490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-25
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health