Premio Healthcare Llc

LBN: Premio Healthcare Llc
Premio Healthcare Llc is an health care organization with primary practice located at 12906 Brant Rock Dr Apt 20 , Houston TX 77082-5466. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Nursing & Custodial Care Facilities / Adult Care Home. Nursing & Custodial Care Facilities / Adult Care Home is the primary health care specialty. Premio Healthcare Llc can be contacted via phone (408) 674-8679, or through Popoola, Michael Akinola via phone (408) 674-8679.

Contact Information

Primary practice address
12906 Brant Rock Dr Apt 20 Houston TX 77082-5466
Phone: (408) 674-8679
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Popoola, Michael Akinola
Phone: (408) 674-8679

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1043972185
LBN Legal business name Premio Healthcare Llc
DBA Doing business as
Authorized official Popoola, Michael Akinola
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2021
Last updated Oct 6th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043972185 NPPES
Texas MEDICAID 001

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