PREMIUM HEALTHCARE SERVICES LLC NPI 1689527475

NPI Information

  • NPI: 1689527475
  • Provider Name: PREMIUM HEALTHCARE SERVICES LLC
  • Classification: Custodial Care Facility - 311Z00000X
  • Entity Type: Organization
  • Address: 1040 90TH ST
    WEST DES MOINES, IA
    ZIP 50266
  • Phone: (301) 683-4148

Map and Directions

Get Directions

NPI Details

PREMIUM HEALTHCARE SERVICES LLC is a custodial care facility in West Des Moines, IA. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. PREMIUM HEALTHCARE SERVICES LLC NPI is 1689527475. The provider is registered as an organization entity type.

The provider's business location address is:

1040 90TH ST
WEST DES MOINES, IA
ZIP 50266-306
Phone: (301) 683-4148

The provider's authorized official is Immaculate Tabi Deisrael .
The authorized official title is Co-owner and has the following contact phone number (301) 683-4148.

The enumeration date for this NPI number is 2/19/2026 and was last updated on 2/19/2026.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1177F00000XLodgingNo
2311500000XAlzheimer Center (Dementia Center)No
3311ZA0620XCustodial Care FacilityAdult Care HomeNo
4311Z00000XCustodial Care FacilityYes

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI