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ODESSA PREMIUM CARE
NPI 1952025942
Technician - Personal Care Attendant in Odessa, TX

Active since October 03, 2022
620 N GRANT AVE STE 903, ODESSA, TX 79761(702) 376-2485 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Odessa Premium Care NPPES

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

ODESSA PREMIUM CARE (NPI 1952025942) is a healthcare organization registered as a personal care attendant in Odessa, Texas and active in the NPI registry since October 2022. The organization lists Ivan Gil Llanes, Manager, as its authorized official.

NPPES Registry Identity

NPI1952025942
Entity TypeOrganization
Primary Taxonomy3747P1801X
Legal Business NameODESSA PREMIUM CARE
Location Address620 N GRANT AVE STE 903Odessa, TX 79761-4547
Mailing Address620 N Grant Ave Ste 903Odessa, TX 79761-4547 · (702) 376-2485
Phone(702) 376-2485
Organization SubpartNo
Authorized OfficialIvan Gil LlanesManager · (702) 985-1399
Enumeration DateOctober 3, 2022
NPPES CertifiedOctober 3, 2022
✔ NPI 1952025942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
620 N GRANT AVE STE 903, Odessa, TX 79761
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Odessa Premium Care's NPI number?

The NPI number for Odessa Premium Care is 1952025942. It was assigned to this organization in the NPPES registry on October 3, 2022.

Where is Odessa Premium Care located?

Odessa Premium Care is located at 620 N Grant Ave Ste 903, Odessa, TX 79761. The listed phone number is (702) 376-2485.

What is Odessa Premium Care's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Odessa Premium Care was last updated on October 3, 2022. 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.