Organization
PREMIUM CARE USA LLC
Active
Other names
Premium Home Health Care, LLC, Premium Care USA
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN IVER MSN, RN, CDP (CHIEF OPERATING OFFICER)
(571) 620-7556
Entity
Organization
Contact information
Practice address
10300 EATON PL STE 260, FAIRFAX, VA 22030-2255
(571) 620-7556
(571) 620-7557
Mailing address
10300 EATON PL STE 260, FAIRFAX, VA 22030-2255
(571) 620-7556
(571) 620-7557
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679941181
—
VA
05
—
5890314000
—
MD
Enumeration date
09/14/2015
Last updated
02/12/2026
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