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Premium Healthcare Services LLC

Custodial Care Facility in West Des Moines, IA · enumerated 2026 · authorized official Immaculate Tabi Deisrael, Co-Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689527475

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Registry record

Entity type Organization (Type 2)
Legal business name Premium Healthcare Services LLC
Practice address 1040 90th St, West Des Moines, IA, 50266
Phone (301) 683-4148
Enumeration date Feb 19, 2026
Last updated in NPPES Feb 19, 2026

Taxonomy & classification

177F00000X Lodging Provider Other Service Providers Secondary
311500000X Alzheimer Center (Dementia Center) Nursing & Custodial Care Facilities Secondary
311Z00000X Custodial Care Facility Nursing & Custodial Care Facilities Primary
311ZA0620X Adult Care Home Facility Nursing & Custodial Care Facilities Secondary

Authorized official

Name Immaculate Tabi Deisrael
Title Co-Owner
Phone (301) 683-4148

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Premium Healthcare Services LLC?
Premium Healthcare Services LLC is registered in NPPES as a Custodial Care Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-02-19.