MEDICARE: PREMIUM STANDARD HOME HEALTH OF FLORIDA INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1023975349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIUM STANDARD HOME HEALTH OF FLORIDA INC

Provider Business Mailing Address
First Line	:	6301 NW 5TH WAY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-6131
Country	:	US
Telephone Number	:	317-453-6323
Fax Number	:

Provider Business Practice Location Address
First Line	:	6301 NW 5TH WAY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-6131
Country	:	US
Telephone Number	:	317-453-6323
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. GIANINA WALKER
Credential	:
Telephone Number	:	404-545-6888

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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