Provider Demographics
NPI:1851444541
Name:SUPERIOR HEALTH CAREGIVERS, LLC
Entity Type:Organization
Organization Name:SUPERIOR HEALTH CAREGIVERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TARRA
Authorized Official - Middle Name:MARSH
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:704-283-2246
Mailing Address - Street 1:2912 CRIPPLE CREEK CT
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-5223
Mailing Address - Country:US
Mailing Address - Phone:704-283-2246
Mailing Address - Fax:704-283-2276
Practice Address - Street 1:2912 CRIPPLE CREEK CT
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-5223
Practice Address - Country:US
Practice Address - Phone:704-283-2246
Practice Address - Fax:704-283-2276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3625251E00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health
Not Answered251J00000XAgenciesNursing Care