Provider Demographics
NPI:1275293557
Name:PREMIER HOSPICE CARE INC
Entity Type:Organization
Organization Name:PREMIER HOSPICE CARE INC
Other - Org Name:GET WELL HOME HEALTH BAKERSFIELD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSVEL MICAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MACASAET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-374-0778
Mailing Address - Street 1:4540 CALIFORNIA AVE STE 510
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-7022
Mailing Address - Country:US
Mailing Address - Phone:661-374-0778
Mailing Address - Fax:
Practice Address - Street 1:4540 CALIFORNIA AVE STE 510
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-7022
Practice Address - Country:US
Practice Address - Phone:661-374-0778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-28
Last Update Date:2022-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANAOtherPRIVATE INSURANCES