Provider Demographics
NPI:1033324884
Name:PREMIER HOME HEALTH CARE SERVICES, INC
Entity Type:Organization
Organization Name:PREMIER HOME HEALTH CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GIANDURCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-428-7722
Mailing Address - Street 1:1 N LEXINGTON AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-1712
Mailing Address - Country:US
Mailing Address - Phone:914-428-7722
Mailing Address - Fax:914-428-2404
Practice Address - Street 1:42 BROADWAY
Practice Address - Street 2:21ST FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10004-1617
Practice Address - Country:US
Practice Address - Phone:646-425-6200
Practice Address - Fax:646-425-6235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1086L001251J00000X
NY1086L002251J00000X
NY1086L003251J00000X
NY1086L004251J00000X
NY1086L005251J00000X
NY1086L006251J00000X
NY1086L007251J00000X
NY1086L008251J00000X
NY1086L009251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1086L002OtherSTATE LIC # FOR BRANCH
NY1086L001OtherSTATE LIC # FOR BRANCH
NY1086L005OtherSTATE LIC # FOR BRANCH
NY1086L006OtherSTATE LIC # FOR BRANCH
NY1086L003OtherSTATE LIC # FOR BRANCH
NY1086L009OtherSTATE LIC # FOR BRANCH
NY1086L008OtherSTATE LIC # FOR BRANCH
NY1086L004OtherSTATE LIC # FOR BRANCH
NY1086L007OtherSTATE LIC # FOR BRANCH