Provider Type Icon

PREMIUM PERSONAL CARE LLC NPI 1255928750


NPI Information

NPI: 1255928750
Provider Name: PREMIUM PERSONAL CARE, LLC
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
1639 W NORTH BEND RD
CINCINNATI, OH
ZIP 45224
Phone: (513) 967-1056
Get Directions

PREMIUM PERSONAL CARE, LLC is a developmental disabilities clinic center in Cincinnati, OH. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). PREMIUM PERSONAL CARE, LLC NPI is 1255928750. The provider is registered as an organization entity type.

The provider's business location address is:

1639 W NORTH BEND RD
CINCINNATI, OH
ZIP 45224-023
Phone: (513) 967-1056

The provider's authorized official is Michelle Carol Johnson .
The authorized official title is Ceo and has the following contact phone number (513) 967-1056.

The enumeration date for this NPI number is 12/30/2020 and was last updated on 12/30/2020.


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
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes
2385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo
3253Z00000XIn Home Supportive CareNo

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
13124185MEDICAIDOHIO

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.