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PREMIUM PROVIDER SERVICES LLC
NPI 1669165007
Community/Behavioral Health in Miami Gardens, FL

Active since May 31, 2023
19035 NW 43RD CT, MIAMI GARDENS, FL 33055(786) 312-3834 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premium Provider Services Llc NPPES

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

PREMIUM PROVIDER SERVICES LLC (NPI 1669165007) is a healthcare organization registered as a community/behavioral health in Miami Gardens, Florida and active in the NPI registry since May 2023. The organization lists Eliselly Rodriguez, Ambr, as its authorized official.

NPPES Registry Identity

NPI1669165007
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePREMIUM PROVIDER SERVICES LLC
Location Address19035 NW 43RD CTMiami Gardens, FL 33055-2644
Mailing Address19035 Nw 43rd CtMiami Gardens, FL 33055-2644 · (786) 312-3834
Phone(786) 312-3834
Organization SubpartNo
Authorized OfficialEliselly RodriguezAmbr · (786) 312-3834
Enumeration DateMay 31, 2023
NPPES CertifiedMay 31, 2023
✔ NPI 1669165007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
19035 NW 43RD CT, Miami Gardens, FL 33055
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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 Provider Services LLC's NPI number?

The NPI number for Premium Provider Services LLC is 1669165007. It was assigned to this organization in the NPPES registry on May 31, 2023.

Where is Premium Provider Services LLC located?

Premium Provider Services LLC is located at 19035 NW 43rd Ct, Miami Gardens, FL 33055. The listed phone number is (786) 312-3834.

What is Premium Provider Services LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Premium Provider Services LLC was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.