Premier Professional Home Care Corp

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

PREMIER PROFESSIONAL HOME CARE CORP

Practice address

10300 SW 72ND St Ste 190
Miami, FL 33173-3040

Phone

(305) 343-0841

Fax

(786) 636-8946

NPI assigned

Dec 10, 2024

Organization subpart

No

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

Authorized official

Name

Mildred Nieves

Title

Owner

Phone

(305) 343-0841

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1275349664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST STE 190",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733040",
            "telephone_number": "305-343-0841",
            "fax_number": "786-636-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST STE 190",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733040",
            "telephone_number": "305-343-0841",
            "fax_number": "786-636-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PROFESSIONAL HOME CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "NIEVES",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-343-0841"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Premier Research Associate Inc
• Premier Value Family Medicine LLC
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• Premier Wound Solutions LLC

• Registered Nurse in Miami, FL
• Providers in Miami, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.