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Organization

SUPER HOME CARE LLC

Active
Other names
super home care llc
Organization subpart
No

Provider details

NPI number
Authorized official
MOHAMED ELIAS OMER (OWNER -MANAGER)
(720) 829-9083
Entity
Organization

Contact information

Practice address
1230 S PARKER RD STE 217, 1230 S PARKER RD STE 217, DENVER, CO 80231-2119
(303) 728-9154
(303) 728-9154
Mailing address
1230 S PARKER RD STE 217, 1230 S PARKER RD STE 217, DENVER, CO 80231-2119
(303) 728-9154
(303) 728-9154

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
376J00000X
Homemaker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
112440310
HOMEMAKER CES/SLS
CO
Enumeration date
05/21/2020
Last updated
04/14/2021
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