# SUPER HOME CARE LLC

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

## Provider details

- **NPI number:** 1558981845
- **Authorized official:** MR. MOHAMED ELIAS OMER (OWMER -MANGER)
- **Authorized official phone:** (720) 829-9083

## Contact information

- **Practice address:** 715 QUINCE ST, DENVER, CO 80230-6188
- **Practice address phone:** (720) 829-9083
- **Mailing address:** 1230 S PARKER RD STE 217, DENVER, CO 80231-2119
- **Mailing address phone:** (720) 829-9083

## Taxonomy

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

## Other

- **Enumeration date:** 04/16/2020
- **Last updated:** 02/26/2022