Organization Active NPI

Premium Care Health Services, LLC

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1548863293
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jun 17, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 687232
Ownership
-
Certified
Feb 27, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Premium Care Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

NameRoleSinceShare
Vivian Pizarro Santana Individual Corporate OfficerDirector of Nursing, Alternate a May 3, 2023
Corporate DirectorDirector of Nursing, Alternate a May 3, 2023
Mercedes Fandino Individual 5% Or Greater Direct Ownership InterestMGR Mar 31, 2020 50%
Corporate OfficerMGR May 14, 2021 50%
Corporate DirectorMGR May 14, 2021 50%
W-2 Managing EmployeeMGR May 14, 2021 50%
Aracely Ferrer Duarte Individual Corporate DirectorDon. Alt. Administrator May 14, 2021
W-2 Managing EmployeeDon. Alt. Administrator May 14, 2021
Luisa Lassen Individual 5% Or Greater Direct Ownership InterestAdministrator, MGR Mar 31, 2020 50%
Corporate OfficerAdministrator, MGR May 14, 2021 50%
Corporate DirectorAdministrator, MGR May 14, 2021 50%
W-2 Managing EmployeeAdministrator, MGR 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

Sources for this page

Verify at the official NPI Registry.