Organization Active NPI

Premier Health Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Boca Raton, FL
National Provider Identifier
1710484043
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PREMIER HEALTH SUPPLIES LLC
Practice address
2263 NW 2ND Ave Ste 206
Boca Raton, FL 33431-7470
Phone
(561) 614-5135
Fax
(561) 405-7788
NPI assigned
Apr 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Jennifer Parke
Title
Owner
Phone
(561) 614-5135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2263 NW 2ND Ave Ste 206
Boca Raton, FL 33431-7470

Mailing address

2263 NW 2ND Ave Ste 206
Boca Raton, FL 33431-7470
Phone (561) 614-5135

National Provider Directory

National Provider Directory

Locations

2263 NW 2nd Ave
Ste 206
Boca Raton, FL 33431
Phone (561) 614-5135

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1710484043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2263 NW 2ND AVE STE 206",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317470",
            "telephone_number": "561-614-5135",
            "fax_number": "561-405-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2263 NW 2ND AVE STE 206",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317470",
            "telephone_number": "561-614-5135",
            "fax_number": "561-405-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "PARKE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-614-5135"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.