Premium Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299991661 Issued in FL

Legal business name

PREMIUM HOME HEALTH CARE INC

Practice address

2760 SW 97TH Ave
Suite 107
Miami, FL 33165-2684

Phone

(305) 222-2260

Fax

(305) 222-2212

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Heberto Pena

Title

Administrator Owner

Phone

(305) 222-2260

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 108021

Legal name

PREMIUM HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 29, 2004

Last certification

Dec 23, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Nov 26, 2001 in FL

Enrollment address

2760 SW 97 Ave
Ste 107
Miami, FL 33165-2685

Listed as

Premium Home Health Care IncCCN 108021

Ownership

Proprietary

Certified

Jan 29, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1720011208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 SW 97TH AVE",
            "address_2": "SUITE 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652684",
            "telephone_number": "305-222-2260",
            "fax_number": "305-222-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 SW 97TH AVE",
            "address_2": "SUITE 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652684",
            "telephone_number": "305-222-2260",
            "fax_number": "305-222-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "HEBERTO",
        "authorized_official_title_or_position": "ADMINISTRATOR OWNER",
        "authorized_official_telephone_number": "305-222-2260",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premium Healthcare Holdings, LLLP
• Premium Healthcare Holdings, LLLP
• Premium Healthcare Plus LLC
• Premium Healthcare Tpa, LLC
• Premium Healthcare, LLC
• Premium Medical Center Group LLC
• Premium Medical Institute Inc
• Premium Medical Services Group Inc
• Premium Medical Supply Inc
• Premium Pharmacy Inc

• Home Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.