Provider Demographics
NPI:1134550494
Name:SUPERIOR INTEGRATED HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:SUPERIOR INTEGRATED HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:NOELINA
Authorized Official - Last Name:BEAUSOLEIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-802-6034
Mailing Address - Street 1:1337B W 43RD ST # B11
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-4205
Mailing Address - Country:US
Mailing Address - Phone:281-802-6034
Mailing Address - Fax:713-583-4470
Practice Address - Street 1:7203 ATHLONE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-7401
Practice Address - Country:US
Practice Address - Phone:281-802-6034
Practice Address - Fax:713-583-4470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-11
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX67-9511Medicare UPIN