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PREMIO HEALTHCARE LLC
NPI 1043972185
Custodial Care Facility - Adult Care Home in Houston, TX

Active since October 06, 2021
1102 PAUL QUINN ST UNIT M, HOUSTON, TX 77091(408) 674-8679 Get Directions Write a Review

NPPES record last updated: July 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 27, 2025, Oct 6, 2021 (2 updates tracked since 2021).

About Premio Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIO HEALTHCARE LLC (NPI 1043972185) is a healthcare organization registered as an adult care home in Houston, Texas and active in the NPI registry since October 2021. The organization lists Michael Akinola Popoola, Director, as its authorized official.

NPPES Registry Identity

NPI1043972185
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NamePREMIO HEALTHCARE LLC
Location Address1102 PAUL QUINN ST UNIT MHouston, TX 77091-5581
Mailing Address1102 Paul Quinn St Unit MHouston, TX 77091-5581 · (408) 674-8679
Phone(408) 674-8679
Organization SubpartNo
Authorized OfficialMichael Akinola PopoolaDirector · (408) 674-8679
Enumeration DateOctober 6, 2021
Last NPPES UpdateJuly 19, 20252 updates tracked since enumeration
NPPES CertifiedJuly 19, 2025
✔ NPI 1043972185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
1102 PAUL QUINN ST UNIT M, Houston, TX 77091
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Other Identifiers 1

Medicaid001TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions

What is PREMIO HEALTHCARE LLC's NPI number?

The NPI number assigned to this healthcare provider is 1043972185, enumerated as an "organization" on October 06, 2021.

Where is the provider located?

The provider is located at 1102 PAUL QUINN ST UNIT M HOUSTON, TX 77091 and the phone number is (408) 674-8679.

What is the provider's specialty?

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.

What insurance does PREMIO HEALTHCARE LLC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.