# PREMIUM STANDARD HOME CARE OF OHIO

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

## Provider details

- **NPI number:** 1154185395
- **Authorized official:** MS. GIANINA WALKER (OWNER)
- **Authorized official phone:** (404) 545-6888

## Contact information

- **Practice address:** 1764 ALEC PLACE, ATLANTA, GA 30329
- **Practice address phone:** (404) 545-6888
- **Mailing address:** 815 SUPERIOR AVE E STE 1618, CLEVELAND, OH 44114-2709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 02/08/2024
- **Last updated:** 05/27/2026