Organization Active NPI

Premium Care Services

  • Nursing Care Agency
  • Katy, TX
National Provider Identifier
1730764366
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
PREMIUM CARE SERVICES
Practice address
19123 Old Crow LN
Katy, TX 77449-1985
Phone
(832) 774-7244
NPI assigned
Mar 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Authorized official

Name
Ernestine Likam
Title
Manager
Phone
(832) 774-7244

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

19123 Old Crow LN
Katy, TX 77449-1985

Mailing address

19123 Old Crow LN
Katy, TX 77449-1985
Phone (832) 774-7244

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1730764366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19123 OLD CROW LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774491985",
            "telephone_number": "832-774-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19123 OLD CROW LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774491985",
            "telephone_number": "832-774-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "LIKAM",
        "authorized_official_first_name": "ERNESTINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-774-7244"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.