Premium Home Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PREMIUM HOME HEALTHCARE LLC

Practice address

100 Cummings Ctr
Suite 325-C
Beverly, MA 01915-6115

Phone

(978) 969-6292

Fax

(978) 998-4523

NPI assigned

Jan 9, 2015

Organization subpart

No

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

Authorized official

Name

Vincent Anthony Giblin

Title

Ceo

Phone

(978) 969-6292

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1629467998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CENTER DRIVE",
            "address_2": "SUITE 325-C",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151310",
            "telephone_number": "978-969-6292",
            "fax_number": "978-998-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR",
            "address_2": "SUITE 325-C",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156115",
            "telephone_number": "978-969-6292",
            "fax_number": "978-998-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "GIBLIN",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-969-6292"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Posada Rivera, MS, BCBA
• Amber Pothier
• Ellen T Poveromo, PT
• John J Powers, LICSW
• John M. Pratico
• Jennifer Ruth Prentiss, MSN, APRN, CNM
• Amrou Presume, OTD,OTR/L
• Donna Rose Prezzano, LICSW
• Julie Marie Procacini
• Mathew Procopio, DPT, PT

• Home Health Agency in Beverly, MA
• Providers in Beverly, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.