Premium Healthcare Services LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

PREMIUM HEALTHCARE SERVICES LLC

Practice address

1040 90TH St
West Des Moines, IA 50266-3306

Phone

(301) 683-4148

NPI assigned

Feb 19, 2026

Organization subpart

No

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

Authorized official

Name

Immaculate Tabi Deisrael

Title

Co-Owner

Phone

(301) 683-4148

Specialties & licenses 4

Addresses

Practitioners 1

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

• Immaculate Tabe Tabi

  • Home Health Aide
  • College Park, MD
  • NPI 1518399534
  NPD

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

{
    "created_epoch": "1771459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1689527475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 90TH ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502663306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 90TH ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502663306",
            "telephone_number": "301-683-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-19",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "TABI DEISRAEL",
        "authorized_official_first_name": "IMMACULATE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "301-683-4148"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Loraine Pratt
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• Premier Counseling Professionals, LLC
• Premier Health Associates, Inc.
• Mariahma Presley-Ellis, LMFT
• Lashea Preslynn, LMHC
• Prestige Worldwide Therapy
• Brooke Preston, D.C.
• Preventative Health Care LLC

• Custodial Care Facility in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Custodial Care Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.