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PREMIUM CARE HEALTH SERVICES LLC NPI 1760051171


NPI Information

NPI: 1760051171
Provider Name: PREMIUM CARE HEALTH SERVICES, LLC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization

CLIA Number: 10D2228810

Address:
10300 SW 72ND ST STE 200
MIAMI, FL
ZIP 33173
Phone: (305) 336-6275
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PREMIUM CARE HEALTH SERVICES, LLC is an in home supportive care in Miami, FL. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. PREMIUM CARE HEALTH SERVICES, LLC NPI is 1760051171. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10300 SW 72ND ST STE 200
MIAMI, FL
ZIP 33173-040
Phone: (305) 336-6275
Fax: (786) 254-5162

The provider's authorized official is Luisa Rondon-lassen .
The authorized official title is Administrator and has the following contact phone number (305) 336-6275.

The CLIA number assigned to this NPI record is 10D2228810 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/21/2021 and was last updated on 5/13/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13747A0650XTechnicianAttendant Care ProviderNo
2253Z00000XIn Home Supportive CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1299995289OTHERFLORIDAAHCA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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