Active NPI
Premier Care Nurses of America Inc
- Home Health Agency
- Boca Raton, FL
National Provider Identifier
1962835744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 30211060
- Legal business name
- PREMIER CARE NURSES OF AMERICA INC
- Practice address
- 2799 NW Boca Raton Blvd Ste 204
Boca Raton, FL 33431-6709 - Phone
- (561) 353-9200
- NPI assigned
- Aug 15, 2013
- 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
- Mrs. Mirjana Goforth
- Title
- Administrator
- Phone
- (561) 353-9200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 30211060 | FL | Primary |
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
2799 NW Boca Raton Blvd Ste 204
Boca Raton, FL 33431-6709
Mailing address
2799 NW Boca Raton Blvd Ste 204
Boca Raton, FL 33431-6709
Phone (561) 353-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 690555200 | Medicaid | FL |
Other names 1
- Premier Care Nurses of America Inc
National Provider Directory
National Provider Directory- Tax ID family
- Premier Care Nurses of America
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Boca Raton, FL
- NPI 1326281379
-
- Home Health Agency
- Coconut Creek, FL
- NPI 1447684188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705622400000",
"number": "1962835744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2799 NW BOCA RATON BLVD STE 204",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316709",
"telephone_number": "561-353-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2799 NW BOCA RATON BLVD STE 204",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316709",
"telephone_number": "561-353-9200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER CARE NURSES OF AMERICA INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-15",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A",
"authorized_official_last_name": "GOFORTH",
"authorized_official_first_name": "MIRJANA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "561-353-9200",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "30211060",
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "690555200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Premier Care Nurses of America Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.