Premier Care Nurses of America Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

30211191 Issued in FL

Legal business name

PREMIER CARE NURSES OF AMERICA INC

Doing business as

Premier Care Nurses of America
Premier Care Nurses of America Inc

Practice address

5350 W Hillsboro Blvd Ste 202
Coconut Creek, FL 33073-4396

Phone

(954) 933-9005

Fax

(561) 353-9201

NPI assigned

Aug 29, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Mirjana Goforth

Title

Administrator

Phone

(561) 353-9200

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• Premier Care Nurses of America Doing business as
• Premier Care Nurses of America Inc Doing business as

Tax ID family

Premier Care Nurses of America3 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.

• Premier Care Nurses of America

  • Home Health Agency
  • Boca Raton, FL
  • NPI 1326281379
  NPD tax ID
• Premier Care Nurses of America Inc

  • Home Health Agency
  • Boca Raton, FL
  • NPI 1962835744
  NPD tax ID

Locations

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1447684188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 W HILLSBORO BLVD STE 202",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734396",
            "telephone_number": "954-933-9005",
            "fax_number": "561-353-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 W HILLSBORO BLVD STE 202",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734396",
            "telephone_number": "954-933-9005",
            "fax_number": "561-353-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CARE NURSES OF AMERICA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "GOFORTH",
        "authorized_official_first_name": "MIRJANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-353-9200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "30211191",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690555201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Care Nurses of America",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Care Nurses of America",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Care Nurses of America Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Coconut Creek, FL
• Providers in Coconut Creek, 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 19, 2024; 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.