Organization Active NPI

Premier Care Nurses of America Inc

  • Home Health Agency
  • Boca Raton, FL
National Provider Identifier
1962835744
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
30211060 Issued in FL
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

Updated by the provider on Jan 19, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
690555200MedicaidFL

Other names 1

  • Premier Care Nurses of America Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Premier Care Nurses of America3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.