Active NPI
Premium Care Health Services, LLC
- In Home Supportive Care Agency
- Miami, FL
National Provider Identifier
1760051171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- PREMIUM CARE HEALTH SERVICES, LLC
- Practice address
- 10300 SW 72ND St Ste 200
Miami, FL 33173-3040 - Phone
- (305) 336-6275
- Fax
- (786) 254-5162
- NPI assigned
- Jun 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Luisa Rondon-Lassen
- Title
- Administrator
- Phone
- (305) 336-6275
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Attendant Care Provider | 3747A0650X |
Addresses
Primary practice location
10300 SW 72ND St Ste 200
Miami, FL 33173-3040
Mailing address
10300 SW 72ND St Ste 200
Miami, FL 33173-3040
Phone (305) 336-6275
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 299995289 | Other | FL | AHCA |
National Provider Directory
National Provider Directory- Tax ID family
- Premium Care Health Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Miami, FL
- NPI 1548863293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652400000000",
"number": "1760051171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10300 SW 72ND ST STE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733040",
"telephone_number": "305-336-6275",
"fax_number": "786-254-5162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 SW 72ND ST STE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733040",
"telephone_number": "305-336-6275",
"fax_number": "786-254-5162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIUM CARE HEALTH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-21",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A",
"authorized_official_last_name": "RONDON-LASSEN",
"authorized_official_first_name": "LUISA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "305-336-6275"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "3747A0650X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA",
"identifier": "299995289",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
- Premise Health of Florida Medical PA
- Premise Health of Florida Medical PA
- Premise Health of Florida Medical PA
- Premise Health of Florida Medical PA
- Premium Care Health Services, LLC
- Premium Care Health Solutions Corp
- Premium Health Care Medical Center Inc
- Premium Health Services Corporation
- Premium Health, Inc.
- Premium Healthcare Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.