Organization Active NPI

Premium Home Health Care LLC

  • In Home Supportive Care Agency
  • Aurora, CO
National Provider Identifier
1104612167
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Mar 12, 2026

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.