Provider Demographics
NPI:1033881552
Name:PREMIER HEALTHCARE STAFFING, LLC
Entity Type:Organization
Organization Name:PREMIER HEALTHCARE STAFFING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NEZZETTA
Authorized Official - Middle Name:CORINE
Authorized Official - Last Name:HAMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:704-980-2962
Mailing Address - Street 1:17810 HALTON PARK DRIVE APARTMENT 1F
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262
Mailing Address - Country:US
Mailing Address - Phone:512-466-3163
Mailing Address - Fax:
Practice Address - Street 1:17810 HALTON PARK DRIVE APARTMENT 1F
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262
Practice Address - Country:US
Practice Address - Phone:512-466-3163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-03
Last Update Date:2021-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care