PREMIUM HOME HEALTHCARE
NPI 1336030568
Home Health in Saint Louis, MO

Active since July 15, 2025
1921 CORA AVE, SAINT LOUIS, MO 63113(314) 379-9187 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premium Home Healthcare NPPES

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

PREMIUM HOME HEALTHCARE (NPI 1336030568) is a healthcare organization registered as a home health in Saint Louis, Missouri and active in the NPI registry since July 2025. The organization lists Nicholas Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1336030568
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePREMIUM HOME HEALTHCARE
Location Address1921 CORA AVESaint Louis, MO 63113-2223
Mailing Address922 Southernside LnO Fallon, MO 63368-8433
Organization SubpartNo
Authorized OfficialNicholas JohnsonOwner · (314) 379-9187
Enumeration DateJuly 15, 2025
NPPES CertifiedJuly 14, 2025
NPI 1336030568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
1921 CORA AVE, Saint Louis, MO 63113

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 Home Healthcare's NPI number?

The NPI number for Premium Home Healthcare is 1336030568. It was assigned to this organization in the NPPES registry on July 15, 2025.

Where is Premium Home Healthcare located?

Premium Home Healthcare is located at 1921 Cora Ave, Saint Louis, MO 63113. The listed phone number is (314) 379-9187.

What is Premium Home Healthcare's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Premium Home Healthcare was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.