Provider Demographics
NPI:1154451987
Name:PREMIER PROFESSIONAL TEMPS
Entity Type:Organization
Organization Name:PREMIER PROFESSIONAL TEMPS
Other - Org Name:PREMIER HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:EDYTHE
Authorized Official - Middle Name:
Authorized Official - Last Name:RESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-461-9595
Mailing Address - Street 1:2011 LEMOINE AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-5700
Mailing Address - Country:US
Mailing Address - Phone:201-461-9595
Mailing Address - Fax:201-461-9662
Practice Address - Street 1:2011 LEMOINE AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-5700
Practice Address - Country:US
Practice Address - Phone:201-461-9595
Practice Address - Fax:201-461-9662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0089300251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4546008Medicaid