Organization Active NPI

Premium Community Care PLLC

  • In Home Supportive Care Agency
  • Oklahoma City, OK
National Provider Identifier
1871471532
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PREMIUM COMMUNITY CARE PLLC
Practice address
14556 N Pennsylvania Ave Apt 101
Oklahoma City, OK 73134-6145
Phone
(701) 373-6394
NPI assigned
Aug 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Madeleine Atemkeng Nso NanaNPI 1194552968
Title
Owner
Phone
(218) 892-5964

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

14556 N Pennsylvania Ave Apt 101
Oklahoma City, OK 73134-6145

Mailing address

901 10TH St S
Fargo, ND 58103-3101
Phone (701) 373-6394

Other practice location 1

1550 Belsly Blvd Apt 207
Moorhead, MN 56560-5217
Phone (701) 373-6394

Other names 1

  • Premium community care pllc Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1871471532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 10TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033101",
            "telephone_number": "701-373-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14556 N PENNSYLVANIA AVE APT 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731346145",
            "telephone_number": "701-373-6394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 Belsly Blvd Apt 207",
            "address_purpose": "LOCATION",
            "city": "Moorhead",
            "state": "MN",
            "postal_code": "565605217",
            "country_code": "US",
            "telephone_number": "701-373-6394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIUM COMMUNITY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "ATEMKENG NSO NANA",
        "authorized_official_first_name": "MADELEINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-892-5964"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premium community care pllc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.