# PREMIUM HOME HEALTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104612167
- **Authorized official:** POLINA GORINA (OWNER)
- **Authorized official phone:** (720) 486-6390

## Contact information

- **Practice address:** 2260 S XANADU WAY STE 317, AURORA, CO 80014-1373
- **Practice address phone:** (720) 486-6390
- **Mailing address:** 1523 S DALLAS CIR, DENVER, CO 80247-3091
- **Mailing address phone:** (720) 202-9088
- **Mailing address fax:** (720) 783-8969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/16/2025
- **Last updated:** 03/12/2026