Organization Active NPI

Premium Home Care Services LLC

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1306548185
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PREMIUM HOME CARE SERVICES LLC
Practice address
10125 Verree Rd Ste 308
Philadelphia, PA 19116-3674
Phone
(267) 705-7777
NPI assigned
Mar 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Donna Abdullaeva
Title
Owner
Phone
(267) 705-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

10125 Verree Rd Ste 308
Philadelphia, PA 19116-3674

Mailing address

10125 Verree Rd Ste 308
Philadelphia, PA 19116-3674

National Provider Directory

National Provider Directory

Locations

10125 Verree Rd
Ste 308
Philadelphia, PA 19116
Phone (267) 705-7777

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1306548185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10125 VERREE RD STE 308",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10125 VERREE RD STE 308",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163674",
            "telephone_number": "267-705-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "ABDULLAEVA",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-705-7777"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.