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PREMIUM HEALTHCARE TPA, LLC
NPI 1063369031
Local Education Agency (LEA) in Miami, FL

Active since March 11, 2026CLIA Certified · 5 labs
2400 SW 69TH AVE, MIAMI, FL 33155(305) 265-4441(305) 265-4844 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premium Healthcare Tpa, Llc NPPES

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

PREMIUM HEALTHCARE TPA, LLC (NPI 1063369031) is a healthcare organization registered as a local education agency (lea) in Miami, Florida and active in the NPI registry since March 2026. The organization holds 5 active CLIA laboratory certificates and lists Keila Hoover, President, as its authorized official.

NPPES Registry Identity

NPI1063369031
Entity TypeOrganization
Primary Taxonomy251300000X
Legal Business NamePREMIUM HEALTHCARE TPA, LLC
Location Address2400 SW 69TH AVEMiami, FL 33155-2919
Mailing Address2400 Sw 69th AveMiami, FL 33155-2919
Phone(305) 265-4441
Fax(305) 265-4844
Organization SubpartNo
Authorized OfficialKeila HooverPresident · (305) 458-0211
Enumeration DateMarch 11, 2026
NPPES CertifiedMarch 10, 2026
✔ NPI 1063369031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLocal Education Agency (LEA)Agencies
Taxonomy Code251300000X
Definition
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.
2400 SW 69TH AVE, Miami, FL 33155
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CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2279603

Premium Healthcare Holdings, Lllp · Miami, FL
Active · expires Apr 4, 2027
CLIA Number10D2279603
Laboratory TypePhysician Office
Certificate Effective DateApril 5, 2025
Certificate Expiration DateApril 4, 2027
Laboratory DirectorKeila Hoover
Laboratory Phone(305) 265-4441
Laboratory LocationPremium Healthcare Holdings, Lllp2400 SW 69th Ave, Miami, FL 33155
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2279870

Premium Healthcare Plus · Miami, FL
Active · expires Apr 9, 2027
CLIA Number10D2279870
Laboratory TypePhysician Office
Certificate Effective DateApril 10, 2025
Certificate Expiration DateApril 9, 2027
Laboratory DirectorKeila Hoover
Laboratory Phone(305) 265-4441
Laboratory LocationPremium Healthcare Plus9750 SW 24th St, Miami, FL 33165
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2278302

Premium Healthcare Holdings Lllp · Miami, FL
Active · expires Mar 14, 2027
CLIA Number10D2278302
Laboratory TypePhysician Office
Certificate Effective DateMarch 15, 2025
Certificate Expiration DateMarch 14, 2027
Laboratory DirectorKeila Hoover
Laboratory Phone(305) 265-4441
Laboratory LocationPremium Healthcare Holdings Lllp6850 Coral Way, Miami, FL 33155
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2276284

Premium Healthcare Holdings, Lllp · Miami, FL
Active · expires Feb 6, 2027
CLIA Number10D2276284
Laboratory TypePhysician Office
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateFebruary 6, 2027
Laboratory DirectorKeila Hoover
Laboratory Phone(305) 265-4441
Laboratory LocationPremium Healthcare Holdings, Lllp13353 SW 42nd St, Miami, FL 33175
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2276293

Premium Healthcare Holdings, Lllp · Miami, FL
Active · expires Feb 6, 2027
CLIA Number10D2276293
Laboratory TypePhysician Office
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateFebruary 6, 2027
Laboratory DirectorKeila Hoover
Laboratory Phone(305) 265-4441
Laboratory LocationPremium Healthcare Holdings, Lllp6963 SW 117th Ave, Miami, FL 33183
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SUZELLE L COSTALES ARNP
Nurse Practitioner (Family)
2400 SW 69TH AVE
MIAMI, FL 33155
Miami-Dade County (305) 265-4441
HOOVER FAMILY MEDICINE PA
General Practice
2400 SW 69TH AVE
MIAMI, FL 33155
Miami-Dade County (305) 265-4441
PREMIUM HEALTHCARE HOLDINGS, LLLP
Clinic/Center (Multi-Specialty)
2400 SW 69TH AVE
MIAMI, FL 33155
Miami-Dade County (305) 265-4441
GIANNINA GAYOSO APRN
Nurse Practitioner (Primary Care)
2400 SW 69TH AVE
MIAMI, FL 33155
Miami-Dade County (305) 265-4441
JENNIFER RODRIGUEZ APRN
Nurse Practitioner (Family)
2400 SW 69TH AVE
MIAMI, FL 33155
Miami-Dade County (305) 265-4441
MABEL NAYA MONTEAGUDO
Nurse Practitioner (Acute Care)
2400 SW 69TH AVE
MIAMI, FL 33155
Miami-Dade County (786) 554-1090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premium Healthcare Tpa, LLC's NPI number?

The NPI number for Premium Healthcare Tpa, LLC is 1063369031. It was assigned to this organization in the NPPES registry on March 11, 2026.

Where is Premium Healthcare Tpa, LLC located?

Premium Healthcare Tpa, LLC is located at 2400 SW 69th Ave, Miami, FL 33155. The listed phone number is (305) 265-4441.

What is Premium Healthcare Tpa, LLC's specialty?

The primary specialty registered for this NPI is Local Education Agency (LEA) with taxonomy code 251300000X.

Does Premium Healthcare Tpa, LLC hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Premium Healthcare Tpa, LLC was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.