Premium Comfort Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PREMIUM COMFORT CARE LLC

Doing business as

Premium Comfort Care

Practice address

10751 W Rowel Rd
Peoria, AZ 85383-5914

Phone

(623) 235-6030

Fax

(623) 235-6030

NPI assigned

Jan 1, 2024

Organization subpart

No

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

Authorized official

Name

Fadi Afram Polus

Title

Member

Phone

(480) 851-5355

Specialties & licenses 1

Addresses

Other names 1

• PREMIUM COMFORT CARE Doing business as

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

{
    "created_epoch": "1704067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704067200000",
    "number": "1538938576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10751 W ROWEL RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853835914",
            "telephone_number": "623-235-6030",
            "fax_number": "623-235-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10751 W ROWEL RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853835914",
            "telephone_number": "623-235-6030",
            "fax_number": "623-235-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM COMFORT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-01",
        "last_updated": "2024-01-01",
        "certification_date": "2023-12-30",
        "status": "A",
        "authorized_official_last_name": "POLUS",
        "authorized_official_first_name": "FADI",
        "authorized_official_middle_name": "AFRAM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-851-5355"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREMIUM COMFORT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Karen Prentice, D.O.
• Michelle Obillo Prestoza, MD
• Addie Price, PHARMD
• Jaeana Z Price, LPN
• Primova Health LLC

• Assisted Living Facility in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.