Organization Active NPI

Premium Healthcare Inc

  • Home Health Agency
  • Burke, VA
National Provider Identifier
1619307683
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PREMIUM HEALTHCARE INC
Practice address
8991 Cotswold Dr
Ste 3
Burke, VA 22015-1657
Phone
(240) 543-0877
NPI assigned
Nov 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Authorized official

Name
Emmanuel Ndang Chia
Title
Partner
Phone
(240) 543-0877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8991 Cotswold Dr
Ste 3
Burke, VA 22015-1657

Mailing address

8991 Cotswold Dr
Ste 3
Burke, VA 22015-1657
Phone (240) 543-0877

National Provider Directory

National Provider Directory

Locations

8991 Cotswold Dr
Ste 3
Burke, VA 22015
Phone (240) 543-0877

NPI Registry JSON

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1619307683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8991 COTSWOLD DR",
            "address_2": "STE 3",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151657",
            "telephone_number": "240-543-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8991 COTSWOLD DR",
            "address_2": "STE 3",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151657",
            "telephone_number": "240-543-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "CHIA",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "NDANG",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "240-543-0877"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.