Active NPI
Premium Home Health Care LLC
- In Home Supportive Care Agency
- Aurora, CO
National Provider Identifier
1104612167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- PREMIUM HOME HEALTH CARE LLC
- Practice address
- 2260 S Xanadu Way Ste 317
Aurora, CO 80014-1373 - Phone
- (720) 486-6390
- NPI assigned
- Apr 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Polina Gorina
- Title
- Owner
- Phone
- (720) 486-6390
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
2260 S Xanadu Way Ste 317
Aurora, CO 80014-1373
Mailing address
1523 S Dallas Cir
Denver, CO 80247-3091
Phone (720) 202-9088
National Provider Directory
National Provider DirectoryLocations
2260 S Xanadu Way
Ste 317
Aurora, CO 80014
Phone (720) 486-6390
14001 E Iliff Ave
Ste 441
Aurora, CO 80014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773273600000",
"number": "1104612167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1523 S DALLAS CIR",
"city": "DENVER",
"state": "CO",
"postal_code": "802473091",
"telephone_number": "720-202-9088",
"fax_number": "720-783-8969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2260 S XANADU WAY STE 317",
"city": "AURORA",
"state": "CO",
"postal_code": "800141373",
"telephone_number": "720-486-6390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIUM HOME HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-16",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A",
"authorized_official_last_name": "GORINA",
"authorized_official_first_name": "POLINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "720-486-6390"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.