Provider Demographics
NPI:1508212671
Name:SUPERIOR HOME SERVICES, INC
Entity Type:Organization
Organization Name:SUPERIOR HOME SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:L
Authorized Official - Last Name:PIRILLA-SCALISE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-754-2600
Mailing Address - Street 1:4304 WALNUT ST
Mailing Address - Street 2:SUITE 10
Mailing Address - City:MCKEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15132-6028
Mailing Address - Country:US
Mailing Address - Phone:412-754-2600
Mailing Address - Fax:412-754-2601
Practice Address - Street 1:4304 WALNUT ST
Practice Address - Street 2:SUITE 10
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132-6028
Practice Address - Country:US
Practice Address - Phone:412-754-2600
Practice Address - Fax:412-754-2601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-09
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA18973601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001892430Medicaid