Organization Active NPI

Premium Health, Corp.

  • Durable Medical Equipment & Medical Supplies
  • Hollywood, FL
National Provider Identifier
1376640508
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PREMIUM HEALTH, CORP.
Practice address
1747 Van Buren St
925
Hollywood, FL 33020-5131
Phone
(954) 922-1330
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Julissa Leon
Title
President
Phone
(954) 922-1330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1747 Van Buren St
925
Hollywood, FL 33020-5131

Mailing address

1747 Van Buren St
925
Hollywood, FL 33020-5131
Phone (954) 922-1330

National Provider Directory

National Provider Directory

Locations

1747 Van Buren St
Ste 925
Hollywood, FL 33020
Phone (954) 922-1330

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376640508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 VAN BUREN ST",
            "address_2": "925",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205131",
            "telephone_number": "954-922-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 VAN BUREN ST",
            "address_2": "925",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205131",
            "telephone_number": "954-922-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM HEALTH, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "JULISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-922-1330"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.