Provider Demographics
NPI:1902620388
Name:SUPERIOR HEALTH LLC
Entity type:Organization
Organization Name:SUPERIOR HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ISKANDAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-242-7558
Mailing Address - Street 1:13580 TECHNOLOGY DR APT 3212
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-2315
Mailing Address - Country:US
Mailing Address - Phone:952-242-7558
Mailing Address - Fax:
Practice Address - Street 1:13580 TECHNOLOGY DR APT 3212
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-2315
Practice Address - Country:US
Practice Address - Phone:952-242-7558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health