Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premium Home Healthcare

Organization Home Health Agency · NPI 1336030568

Premium Home Healthcare is a Home Health Agency in Saint Louis, Missouri. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1921 Cora Ave
Saint Louis, MO 63113-2223
Phone: (314) 379-9187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X

Record details

NPI number1336030568
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Johnson — Owner · (314) 379-9187
NPI enumeratedJuly 15, 2025
Last updated in NPPESJuly 15, 2025
Certification dateJuly 14, 2025
Mailing address922 Southernside Ln, O Fallon, MO 63368-8433

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