Organization Active NPI

Premium Healthcare Services LLC

  • Home Health Agency
  • Garland, TX
National Provider Identifier
1356683650
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PREMIUM HEALTHCARE SERVICES LLC
Practice address
2002 Creekway Dr
Garland, TX 75043-7568
Phone
(469) 951-5770
Fax
(866) 861-4181
NPI assigned
Mar 25, 2013
Last updated
Mar 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Authorized official

Name
Blasius Ngwa
Title
President/Administrator
Phone
(469) 951-5770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2002 Creekway Dr
Garland, TX 75043-7568

Mailing address

2002 Creekway Dr
Garland, TX 75043-7568
Phone (469) 951-5770

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1356683650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 CREEKWAY DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750437568",
            "telephone_number": "469-951-5770",
            "fax_number": "866-861-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 CREEKWAY DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750437568",
            "telephone_number": "469-951-5770",
            "fax_number": "866-861-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "NGWA",
        "authorized_official_first_name": "BLASIUS",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "469-951-5770"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.