Provider Demographics
NPI:1619730405
Name:SUPERIOR CARE LLC
Entity type:Organization
Organization Name:SUPERIOR CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RAHMA
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:OMAR
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:801-560-9439
Mailing Address - Street 1:4140 4TH AVE S APT 1105
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-1193
Mailing Address - Country:US
Mailing Address - Phone:801-560-9439
Mailing Address - Fax:
Practice Address - Street 1:4140 4TH AVE S APT 1105
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-1193
Practice Address - Country:US
Practice Address - Phone:801-560-9439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUPERIOR CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-05
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care