Provider Demographics
NPI:1235703893
Name:PREMIER HEALTHCARE HOME SERVICES
Entity Type:Organization
Organization Name:PREMIER HEALTHCARE HOME SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-246-7840
Mailing Address - Street 1:1239 C RUSSELL PKWY SUITE 2
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088
Mailing Address - Country:US
Mailing Address - Phone:478-551-4864
Mailing Address - Fax:
Practice Address - Street 1:1239 C RUSSELL PKWY SUITE 2
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088
Practice Address - Country:US
Practice Address - Phone:478-551-4864
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health