Premium Personal Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PREMIUM PERSONAL HOME CARE LLC

Practice address

3801 N County Road 1140
Midland, TX 79705-9609

Phone

(432) 270-6074

Fax

(432) 260-6077

NPI assigned

Aug 24, 2022

Organization subpart

No

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

Authorized official

Name

Osleidis Perez Lago

Title

Medical Assistant

Phone

(432) 556-7841

Specialties & licenses 1

Addresses

Other names 1

• Premium Personal Home Care LLC Doing business as

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1659090595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 N COUNTY ROAD 1140",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797059609",
            "telephone_number": "432-270-6074",
            "fax_number": "432-260-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 N COUNTY ROAD 1140",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797059609",
            "telephone_number": "432-270-6074",
            "fax_number": "432-260-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM PERSONAL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "LAGO",
        "authorized_official_first_name": "OSLEIDIS",
        "authorized_official_middle_name": "PEREZ",
        "authorized_official_title_or_position": "MEDICAL ASSISTANT",
        "authorized_official_telephone_number": "432-556-7841"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premium Personal Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premium Personal Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premier Life Care LLC
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• Premila Johnson, MD LP
• Premise Health of Texas Medical PA
• Premise Health of Texas Medical PA
• Prestige Imaging, LLC
• Brittany P Price, RD
• Claudia Molina Prince, LPC
• Kristi Pritchett
• Providerx of Midland LLC

• In Home Supportive Care Agency in Midland, TX
• Providers in Midland, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.