Premium Homecare Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PREMIUM HOMECARE SERVICES, LLC

Practice address

428 Weleber St
Oregon City, OR 97045-3249

Phone

(503) 419-7721

NPI assigned

Mar 5, 2025

Organization subpart

No

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

Authorized official

Name

Angela Dillon

Title

Administrator/Owner

Phone

(503) 419-7721

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784419200000",
    "number": "1114725173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 SE MONTEREY AVE STE 100",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970867728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 WELEBER ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970453249",
            "telephone_number": "503-419-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM HOMECARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2026-07-19",
        "certification_date": "2026-07-19",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "503-419-7721"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Oregon City, OR
• Providers in Oregon City, OR by specialty
• In Home Supportive Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.