Premium Home Medical Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299992838 Issued in FL

Legal business name

PREMIUM HOME MEDICAL SERVICES, INC.

Practice address

2500 NW 79TH Ave
Suite 238
Doral, FL 33122-1073

Phone

(305) 468-0092

Fax

(305) 468-0093

NPI assigned

Oct 23, 2007

Organization subpart

No

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

Authorized official

Name

Jose Corral

Title

President

Phone

(305) 468-0092

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1053500215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE",
            "address_2": "SUITE 238",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221073",
            "telephone_number": "305-468-0092",
            "fax_number": "305-468-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE",
            "address_2": "SUITE 238",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221073",
            "telephone_number": "305-468-0092",
            "fax_number": "305-468-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM HOME MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "CORRAL",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-468-0092"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Doral, FL
• Providers in Doral, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.