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PREMIUM HEALTH CARE INC. NPI 1114535473


NPI Information

NPI: 1114535473
Provider Name: PREMIUM HEALTH CARE INC.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1 W LAKE ST APT 221
MINNEAPOLIS, MN
ZIP 55408
Phone: (612) 408-7881
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PREMIUM HEALTH CARE INC. is an assisted living facility in Minneapolis, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PREMIUM HEALTH CARE INC. NPI is 1114535473. The provider is registered as an organization entity type.

The provider's business location address is:

1 W LAKE ST APT 221
MINNEAPOLIS, MN
ZIP 55408-151
Phone: (612) 408-7881

The provider's authorized official is Abdirahim Salah Mohamed .
The authorized official title is Owner and has the following contact phone number (612) 408-7881.

The enumeration date for this NPI number is 7/22/2020 and was last updated on 7/22/2020.


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
1251E00000XHome HealthNo
2251J00000XNursing CareNo
3310400000XAssisted Living FacilityYes
4332B00000XDurable Medical Equipment & Medical SuppliesNo
5343900000XNon-emergency Medical Transport (VAN)No

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.