Provider Demographics
NPI:1164068326
Name:PREMIER HOME HEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:PREMIER HOME HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:A
Authorized Official - Last Name:JONES
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:216-482-7718
Mailing Address - Street 1:25000 EUCLID AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-2647
Mailing Address - Country:US
Mailing Address - Phone:440-241-0543
Mailing Address - Fax:
Practice Address - Street 1:25000 EUCLID AVE STE 208
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44117-2647
Practice Address - Country:US
Practice Address - Phone:440-241-0543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-22
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health