Provider Demographics
NPI:1336128610
Name:SUPERIOR CARE PLUS, LLC
Entity Type:Organization
Organization Name:SUPERIOR CARE PLUS, LLC
Other - Org Name:SUPPORTIVE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-231-1060
Mailing Address - Street 1:4850 SMITH RD STE 250
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-2796
Mailing Address - Country:US
Mailing Address - Phone:513-231-1060
Mailing Address - Fax:513-297-3319
Practice Address - Street 1:4850 SMITH RD STE 250
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45212-2796
Practice Address - Country:US
Practice Address - Phone:513-231-1060
Practice Address - Fax:513-231-4207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-13
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH368079251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2532709Medicaid
OH2532709Medicaid