Organization Active NPI

Premium Standard Home Health of Ohio Inc.

  • Home Health Agency
  • Rocky River, OH
National Provider Identifier
1053114744
Registry record updated Mar 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PREMIUM STANDARD HOME HEALTH OF OHIO INC.
Practice address
20525 Detroit Rd Ste 7
Rocky River, OH 44116-2444
Phone
(317) 453-6323
NPI assigned
Mar 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Gianina Walker
Title
Owner
Phone
(317) 453-6323

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Community Based Hospice Care Agency 251G00000X
Nursing Care Agency 251J00000X

Addresses

Primary practice location

20525 Detroit Rd Ste 7
Rocky River, OH 44116-2444

Mailing address

2231 Hunters Green Dr
Lawrenceville, GA 30043-5182
Phone (317) 453-6323

National Provider Directory

National Provider Directory

Locations

20525 Detroit Rd
Ste 7
Rocky River, OH 44116
Phone (317) 453-6323

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743206400000",
    "number": "1053114744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 HUNTERS GREEN DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435182",
            "telephone_number": "317-453-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20525 DETROIT RD STE 7",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162444",
            "telephone_number": "317-453-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM STANDARD HOME HEALTH OF OHIO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-29",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "GIANINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-453-6323",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.