Active NPI
Premium Care Health Services, LLC
- Home Health Agency
- Miami, FL
National Provider Identifier
1548863293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PREMIUM CARE HEALTH SERVICES, LLC
- Practice address
- 10300 SW 72ND Street Ste 204B
Miami, FL 33173-3040 - Phone
- (305) 336-6275
- Fax
- (786) 254-5162
- NPI assigned
- Nov 17, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Luisa Rondon-Lassen
- Title
- Owner
- Phone
- (305) 336-6275
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
10300 SW 72ND Street Ste 204B
Miami, FL 33173-3040
Mailing address
10300 SW 72ND Street, Suite 204B
Miami, FL 33173-3040
Phone (305) 336-6275
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220128001850 | FL | Part A Provider - Home Health Agency | 3476945262 | Practice locations: Miami, FL |
Home health agency certification: CCN 687232
- Legal name
- PREMIUM CARE HEALTH SERVICES LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 27, 2023
- Last certification
- Feb 15, 2023
- Organization structure
- LLC
- Enrollment address
- 10300 SW 72ND St
Ste 204B
Miami, FL 33173-3040
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Premium Care Health Services LLC
- Ownership
- -
- Certified
- Feb 27, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Premium Care Health Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Miami, FL
- NPI 1760051171
Locations
10300 SW 72nd St
Ste 204B
Miami, FL 33173
Phone (305) 336-6275
10300 SW 72nd St
Ste 200
Miami, FL 33173
Phone (305) 336-6275
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Vivian Pizarro Santana | Corporate Officer | May 3, 2023 | |
| Corporate Director | May 3, 2023 | ||
| Mercedes Fandino | 5% Or Greater Direct Ownership Interest | Mar 31, 2020 | 50% |
| Corporate Officer | May 14, 2021 | 50% | |
| Corporate Director | May 14, 2021 | 50% | |
| W-2 Managing Employee | May 14, 2021 | 50% | |
| Aracely Ferrer Duarte | Corporate Director | May 14, 2021 | |
| W-2 Managing Employee | May 14, 2021 | ||
| Luisa Lassen | 5% Or Greater Direct Ownership Interest | Mar 31, 2020 | 50% |
| Corporate Officer | May 14, 2021 | 50% | |
| Corporate Director | May 14, 2021 | 50% | |
| W-2 Managing Employee | May 14, 2021 | 50% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750118400000",
"number": "1548863293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10300 SW 72ND STREET, SUITE 204B",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733040",
"telephone_number": "305-336-6275",
"fax_number": "786-254-5162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 SW 72ND STREET STE 204B",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733040",
"telephone_number": "305-336-6275",
"fax_number": "786-254-5162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIUM CARE HEALTH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-17",
"last_updated": "2025-06-17",
"certification_date": "2020-11-17",
"status": "A",
"authorized_official_last_name": "RONDON-LASSEN",
"authorized_official_first_name": "LUISA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-336-6275",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- Premise Health of Florida Medical PA
- Premise Health of Florida Medical PA
- Premise Health of Florida Medical PA
- Premise Health of Florida Medical PA
- Premise Health of Florida Medical PA
- Premium Care Health Services, LLC
- Premium Care Health Solutions Corp
- Premium Health Care Medical Center Inc
- Premium Health Services Corporation
- Premium Health, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.