Provider Demographics
NPI:1740429224
Name:SUPERB HOME CARE INC
Entity type:Organization
Organization Name:SUPERB HOME CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:RUHUL
Authorized Official - Last Name:AKHLAQ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-289-8248
Mailing Address - Street 1:12101 JOSEPH CAMPAU ST STE 2A
Mailing Address - Street 2:
Mailing Address - City:HAMTRAMCK
Mailing Address - State:MI
Mailing Address - Zip Code:48212-2590
Mailing Address - Country:US
Mailing Address - Phone:313-289-8248
Mailing Address - Fax:
Practice Address - Street 1:12101 JOSEPH CAMPAU ST STE 2A
Practice Address - Street 2:
Practice Address - City:HAMTRAMCK
Practice Address - State:MI
Practice Address - Zip Code:48212-2590
Practice Address - Country:US
Practice Address - Phone:313-289-8248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-06
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health