Active NPI
Premium Community Care PLLC
- In Home Supportive Care Agency
- Oklahoma City, OK
National Provider Identifier
1871471532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Madeleine Atemkeng Nso Nana
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Licensed Practical Nurse
- Morehead, MN
- NPI 1194552968
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
- Premise Health of Oklahoma Medical PC (Premise Health - Oklahoma City North)
- Premise Health of Oklahoma Medical PC (Premise Health - Oklahoma City Midtown)
- Premise Health of Oklahoma Medical PC (OKC Care Employee Medical Center)
- Premise Health of Oklahoma Medical PC (Premise Health)
- Premise Health of Oklahoma Medical PC (the Doc Powered by Premise Health)
- Michael Premo
- Kaylee Ruth Prentice, IBCLC
- Samantha Kate Prentice
- Jaxson Scott Presgrove, PHARMD
- Paul L Preslar, D.O.
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.