Premium Healthcare Services LLC
NPI 1689527475ActiveOrganization· Custodial Care Facility· West Des Moines, IA
Custodial Care Facility in West Des Moines, Iowa, registered in NPPES in February 2026. The authorized official on file is Immaculate Tabi Deisrael, Co-Owner.
Overview
| NPI | 1689527475 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 19, 2026 |
| Last updated in NPPES | Feb 19, 2026 |
| Certified by provider | Feb 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Custodial Care Facility Primary | 311Z00000X | — | — |
| Lodging | 177F00000X | — | — |
| Alzheimer Center (Dementia Center) | 311500000X | — | — |
| Custodial Care Facility, Adult Care Home | 311ZA0620X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|