Provider Demographics
NPI:1275051336
Name:SUPERIOR HOME CARE LLC
Entity Type:Organization
Organization Name:SUPERIOR HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDIRASHID
Authorized Official - Middle Name:OMAR
Authorized Official - Last Name:MOHAMUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-694-1283
Mailing Address - Street 1:16 N GOODMAN ST STE 113
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-1554
Mailing Address - Country:US
Mailing Address - Phone:585-270-5990
Mailing Address - Fax:585-270-5974
Practice Address - Street 1:16 NORTH GOODMAN STREET
Practice Address - Street 2:SUITE 113
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607
Practice Address - Country:US
Practice Address - Phone:585-270-5990
Practice Address - Fax:585-270-5974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health