Provider Demographics
NPI:1689384661
Name:NIAGARA SUPERIOR HEALTHCARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:NIAGARA SUPERIOR HEALTHCARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWNE-DOLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-777-2119
Mailing Address - Street 1:6106 QUAIL AVE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55429-2348
Mailing Address - Country:US
Mailing Address - Phone:320-777-2119
Mailing Address - Fax:
Practice Address - Street 1:6106 QUAIL AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55429-2348
Practice Address - Country:US
Practice Address - Phone:320-777-2119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-30
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health