Organization Active NPI

Premium Care USA LLC

Doing business as Premium Care USA

  • In Home Supportive Care Agency
  • Fairfax, VA
National Provider Identifier
1679941181
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PREMIUM CARE USA LLC
Doing business as
Premium Care USA
Practice address
10300 Eaton PL Ste 260
Fairfax, VA 22030-2255
Phone
(571) 620-7556
Fax
(571) 620-7557
NPI assigned
Sep 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
John Iver, MSN, RN, CDPNPI 1841541059
Title
Chief Operating Officer
Phone
(571) 620-7556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X
Respite Care 385H00000X

Addresses

Primary practice location

10300 Eaton PL Ste 260
Fairfax, VA 22030-2255

Mailing address

10300 Eaton PL Ste 260
Fairfax, VA 22030-2255
Phone (571) 620-7556

Other practice location 1

1401 Rockville Pike Ste 110
Rockville, MD 20852-1428
Phone (571) 620-7556

Other identifiers 2

IdentifierTypeStateIssuer
5890314000MedicaidMD
1679941181MedicaidVA

Other names 2

  • Premium Care USA Doing business as
  • Premium Home Health Care, LLC Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2341957Premium Care USA10300 Eaton Place Suite 260, Fairfax, VA 22030Certificate of waiverApr 9, 2028

National Provider Directory

National Provider Directory

Locations

1401 Rockville Pike
Ste 110
Rockville, MD 20852
Phone (571) 620-7556

10300 Eaton Pl
Ste 260
Fairfax, VA 22030
Phone (571) 620-7556

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1679941181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 EATON PL STE 260",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302255",
            "telephone_number": "571-620-7556",
            "fax_number": "571-620-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 EATON PL STE 260",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302255",
            "telephone_number": "571-620-7556",
            "fax_number": "571-620-7557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Rockville Pike Ste 110",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208521428",
            "country_code": "US",
            "telephone_number": "571-620-7556",
            "fax_number": "571-620-7557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIUM CARE USA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "IVER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "571-620-7556",
        "authorized_official_credential": "MSN, RN, CDP"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5890314000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679941181",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premium Care USA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premium Home Health Care, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Premium Home Health Care, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.