Premier Home Healthcare Florida LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PREMIER HOME HEALTHCARE FLORIDA LLC

Practice address

13024 SW 128TH St
Miami, FL 33186-5880

Phone

(305) 239-3006

Fax

(305) 964-7884

NPI assigned

Jul 13, 2021

Last updated

Jan 31, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susmayle Diaz

Title

Registered Nurse

Phone

(305) 239-3006

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407428048. Details of each certification follow.

• CCN 687238 Home health agency · Active · Details

Home health agency certification: CCN 687238

Legal name

PREMIER HOME HEALTHCARE FLORIDA LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 16, 2022

Last certification

Dec 6, 2022

Organization structure

LLCProprietary

Enrollment address

13024 SW 128TH St
Miami, FL 33186-5880

Listed as

Premier Home Healthcare Florida LLCCCN 687238 · All quality measures

Ownership

-

Certified

Dec 16, 2022

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1407428048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13024 SW 128TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865880",
            "telephone_number": "305-239-3006",
            "fax_number": "305-964-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13024 SW 128TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865880",
            "telephone_number": "305-239-3006",
            "fax_number": "305-964-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOME HEALTHCARE FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "SUSMAYLE",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "305-239-3006"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121120900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Premier Home Health Solutions, LLC
• Premier Medical and Diagnostic Center Inc.
• Premier Medical Center LLC
• Premier Medical Equipment & Billing
• Premier Medical Equipment Provider Inc
• Premier Orthopedic & Neurosurgical Group, LLC

• Home Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.