Provider Demographics
NPI:1952498016
Name:SUPERIOR HEALTH INC.
Entity Type:Organization
Organization Name:SUPERIOR HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:LYNETT
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-685-7351
Mailing Address - Street 1:2917 WINDMILL RD
Mailing Address - Street 2:SUITES 7 & 8
Mailing Address - City:SINKING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:19608-1679
Mailing Address - Country:US
Mailing Address - Phone:610-685-7351
Mailing Address - Fax:610-685-7373
Practice Address - Street 1:2917 WINDMILL RD
Practice Address - Street 2:SUITES 7 & 8
Practice Address - City:SINKING SPRING
Practice Address - State:PA
Practice Address - Zip Code:19608-1679
Practice Address - Country:US
Practice Address - Phone:610-685-7351
Practice Address - Fax:610-685-7373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA77770501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1011682980002Medicaid
PA77770501OtherPENNSYLVANIA S, LICENSE
PA397777Medicare Oscar/Certification