Provider Demographics
NPI:1467213058
Name:SUPERIOR HEALTH HOMECARE, LLC
Entity Type:Organization
Organization Name:SUPERIOR HEALTH HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:L
Authorized Official - Last Name:WIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-961-4016
Mailing Address - Street 1:3602 INDIGO FOREST ST
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-2318
Mailing Address - Country:US
Mailing Address - Phone:281-961-4016
Mailing Address - Fax:
Practice Address - Street 1:550 GREENS PKWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067-4537
Practice Address - Country:US
Practice Address - Phone:346-814-4591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health