# TIDEWATER SUPERIOR HOME SUPPORT LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285491951
- **Authorized official:** MR. DERRICK SAUNDERS (CEO)
- **Authorized official phone:** (757) 802-7600

## Contact information

- **Practice address:** 500 E MAIN ST \# 1545, NORFOLK, VA 23510-2205
- **Practice address phone:** (757) 802-7600
- **Mailing address:** 500 E MAIN ST \# 1600-7, NORFOLK, VA 23510-2205
- **Mailing address phone:** (757) 802-7600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/29/2024
- **Last updated:** 07/30/2025