Premium Health Care, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL6700 Issued in FL

Legal business name

PREMIUM HEALTH CARE, INC.

Doing business as

Hebrew Home of South Beach, ALF

Practice address

336 Collins Ave
Miami Beach, FL 33139-6903

Phone

(305) 672-6464

Fax

(305) 672-3243

NPI assigned

Jun 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jesse Dunwoody

Title

Administrator

Phone

(305) 672-6464

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hebrew Home of South Beach, ALF Doing business as

Locations

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1568668580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 COLLINS AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331396903",
            "telephone_number": "305-672-6464",
            "fax_number": "305-672-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 COLLINS AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331396903",
            "telephone_number": "305-672-6464",
            "fax_number": "305-672-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "DUNWOODY",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-672-6464",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL6700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140383400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hebrew Home of South Beach, ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruben Porudominsky Rotstain
• Brittnie D Poucely, FNP-BC, MSN, BSN
• Austin Jacob Pourmoussa, MD
• Jennifer Powell, PT
• Broc Lane Pratt, M.D
• Catherine A Prendiville, L.C.S.W.
• Preop Partners, Inc.
• Kayla McCall Prestwood, CRNA
• Chane Naml Price, MD, MS
• Freddie Prieto, DO

• Assisted Living Facility in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.