Provider Demographics
NPI:1316089311
Name:SUPERIOR HOME HEALTH OF LAS VEGAS LLC
Entity type:Organization
Organization Name:SUPERIOR HOME HEALTH OF LAS VEGAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:JUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-897-8489
Mailing Address - Street 1:8000 VANTAGE DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-4781
Mailing Address - Country:US
Mailing Address - Phone:210-558-7710
Mailing Address - Fax:210-558-7724
Practice Address - Street 1:3033 W HORIZON RIDGE PKWY
Practice Address - Street 2:STE 100
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-3838
Practice Address - Country:US
Practice Address - Phone:702-897-8489
Practice Address - Fax:702-897-9249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health