Provider Demographics
NPI:1164922191
Name:PREMIER HOME HEALTH,LLC
Entity Type:Organization
Organization Name:PREMIER HOME HEALTH,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MCANALLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-281-3001
Mailing Address - Street 1:35 S PARK PL STE 300
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-5538
Mailing Address - Country:US
Mailing Address - Phone:740-281-3001
Mailing Address - Fax:740-281-3043
Practice Address - Street 1:35 S PARK PL STE 300
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-5538
Practice Address - Country:US
Practice Address - Phone:740-403-6806
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-16
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health