# SUPERIOR HOME CARE SERIVCES 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:** 1306544739
- **Authorized official:** MRS. KISHA WILSON (OWNER)
- **Authorized official phone:** (317) 208-0638

## Contact information

- **Practice address:** 2252 GRADISON DR, INDIANAPOLIS, IN 46214-2055
- **Practice address phone:** (317) 208-0628
- **Mailing address:** 2345 S LYNHURST DR STE 110, INDIANAPOLIS, IN 46241-5100
- **Mailing address phone:** (317) 208-0628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 02/15/2023
- **Last updated:** 04/21/2024