Organization Active NPI

Senior Premium Home Care, LLC

  • Home Health Agency
  • Pensacola, FL
National Provider Identifier
1780197889
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SENIOR PREMIUM HOME CARE, LLC
Practice address
1550 Creighton Rd Ste 8
Pensacola, FL 32504-9401
Phone
(850) 377-2702
Fax
(850) 435-4317
NPI assigned
Nov 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Authorized official

Name
Janet B Swan
Title
Owner/Director
Phone
(850) 377-2702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1550 Creighton Rd Ste 8
Pensacola, FL 32504-9401

Mailing address

1550 Creighton Rd Ste 8
Pensacola, FL 32504-9401
Phone (850) 377-2702

Other practice location 1

2929 Langley Ave Ste 102
Pensacola, FL 32504-7355
Phone (850) 435-4315

Other identifiers 1

IdentifierTypeStateIssuer
299994790OtherFLHOME HEALTH AGENCY - NON MEDICAL

Other names 1

  • Visiting Angels of Pensacola & Gulf Breeze Doing business as

National Provider Directory

National Provider Directory

Locations

1550 Creighton Rd
Ste 8
Pensacola, FL 32504
Phone (850) 377-2702

2929 Langley Ave
Ste 102
Pensacola, FL 32504
Phone (850) 435-4315

NPI Registry JSON

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1780197889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 CREIGHTON RD STE 8",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325049401",
            "telephone_number": "850-377-2702",
            "fax_number": "850-435-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 CREIGHTON RD STE 8",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325049401",
            "telephone_number": "850-377-2702",
            "fax_number": "850-435-4317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2929 Langley Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325047355",
            "country_code": "US",
            "telephone_number": "850-435-4315",
            "fax_number": "850-435-4317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SENIOR PREMIUM HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-10",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "SWAN",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "850-377-2702"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH AGENCY - NON MEDICAL",
            "identifier": "299994790",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels of Pensacola & Gulf Breeze",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.