Provider Demographics
NPI:1083092803
Name:PREMIER HOME HEALTH SOLUTIONS INC
Entity Type:Organization
Organization Name:PREMIER HOME HEALTH SOLUTIONS INC
Other - Org Name:FOUR SEASONS HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-909-0827
Mailing Address - Street 1:671 E BIG BEAVER RD STE 203
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-1422
Mailing Address - Country:US
Mailing Address - Phone:586-510-4659
Mailing Address - Fax:586-576-7124
Practice Address - Street 1:671 E BIG BEAVER RD STE 203
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-1422
Practice Address - Country:US
Practice Address - Phone:586-510-4659
Practice Address - Fax:586-576-7124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-13
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MINON-APPLICABLE251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health