- Enrollment id
- O20030512000043
- Enrollment state
- IL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1932214285
- Multiple npi flag
- N
- Ccn
- 147733
- Associate id
- 8628988201
- Organization name
- SUPERIOR HOME HEALTH LLC
- Doing business as name
- INNOVA CARE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 10700 W. HIGGINS ROAD
- Address line 2
- SUITE 310
- City
- ROSEMONT
- State
- IL
- Zip code
- 600183724