# PREMIUM CARE USA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premium Home Health Care, LLC, Premium Care USA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679941181
- **Authorized official:** JOHN IVER MSN, RN, CDP (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (571) 620-7556

## Contact information

- **Practice address:** 10300 EATON PL STE 260, FAIRFAX, VA 22030-2255
- **Practice address phone:** (571) 620-7556
- **Practice address fax:** (571) 620-7557
- **Mailing address:** 10300 EATON PL STE 260, FAIRFAX, VA 22030-2255
- **Mailing address phone:** (571) 620-7556
- **Mailing address fax:** (571) 620-7557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 372600000X | Adult Companion | — | — | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 09/14/2015
- **Last updated:** 02/12/2026