Provider Demographics
NPI:1992873194
Name:SUPERIOR HOME HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:SUPERIOR HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:JUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-971-0037
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:855-598-1224
Mailing Address - Fax:210-558-7724
Practice Address - Street 1:2108 S M ST STE 9
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1556
Practice Address - Country:US
Practice Address - Phone:956-971-0037
Practice Address - Fax:956-971-0106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011422251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX166494801Medicaid
CL1080Medicare PIN
TX453115Medicare Oscar/Certification