Organization · NPI-2

Superior Homes LLC

Home Health Aide · Eden Prairie, MN

NPI number1316516115
StatusActive
Last updated in NPPESJun 24, 2021

Details

NPI
1316516115
Entity type
Organization (NPI-2)
Legal business name
Superior Homes LLC
Organization subpart
No
Enumeration date
Jun 24, 2021
Certification date
Jun 24, 2021
Last updated
Jun 24, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

8220 Mitchell Rd
Eden Prairie, MN 55347-1500

Phone 195-259-4512

Mailing address

8220 Mitchell Rd
Eden Prairie, MN 55347-1500

Phone 195-259-4512

Authorized official

Abdinoor H Farah
President
9525945123

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Home Health Aide providers in Eden Prairie, MN