Premium Provider Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PREMIUM PROVIDER SERVICES LLC

Practice address

5979 NW 151St St Ste 237
Miami Lakes, FL 33014-2434

Phone

(786) 312-2875

Fax

(305) 876-3189

NPI assigned

Oct 22, 2026

Last updated

Oct 22, 2026By 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

Eliselly Rodriguez

Title

Owner

Phone

(786) 312-3834

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Premium Provider Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Premium Provider Services LLC

  • Nursing Care Agency
  • Miami Lakes, FL
  • NPI 1285567156
  NPD tax ID
• Premium Provider Services LLC

  • Community/Behavioral Health Agency
  • Miami Gardens, FL
  • NPI 1669165007
  NPD tax ID

Locations

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

{
    "created_epoch": "1792627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792627200000",
    "number": "1437056439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5979 NW 151ST ST STE 237",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142434",
            "telephone_number": "786-312-2875",
            "fax_number": "305-876-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 NW 151ST ST STE 237",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142434",
            "telephone_number": "786-312-2875",
            "fax_number": "305-876-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM PROVIDER SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-22",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ELISELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-312-3834"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "30213249",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Rehabilitation Group, LLC
• Premier Touch Nurse Registry LLC
• Premium Health Companion LLC
• Premium Healthcare Holdings, LLLP
• Premium Provider Services LLC
• Prestige Diagnostic Corp
• Prestige Diagnostic Corp
• Brenda Careen Pribila, ARNP-C
• Rosmery Prieto Diaz
• Janis Prieto Fernandez, REGISTER BEHAVIOR TE

• In Home Supportive Care Agency in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; 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.