Provider Demographics
NPI:1548513492
Name:SUPERIOR HOME CARE SERVICES
Entity type:Organization
Organization Name:SUPERIOR HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CELITA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCBETH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-716-0651
Mailing Address - Street 1:302 GRAFTON AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45406-5438
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:302 GRAFTON AVE
Practice Address - Street 2:SUITE B
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45406-5438
Practice Address - Country:US
Practice Address - Phone:937-716-0651
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care