Provider Demographics
NPI:1295820421
Name:PREMIER PLUS HOME HEALTH
Entity Type:Organization
Organization Name:PREMIER PLUS HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:SYBIL
Authorized Official - Middle Name:
Authorized Official - Last Name:DEACON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-445-0057
Mailing Address - Street 1:3100 NW 72ND AVE
Mailing Address - Street 2:SUITE 125
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1351
Mailing Address - Country:US
Mailing Address - Phone:305-445-0057
Mailing Address - Fax:305-445-0058
Practice Address - Street 1:3100 NW 72ND AVE
Practice Address - Street 2:SUITE 125
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33122-1351
Practice Address - Country:US
Practice Address - Phone:305-445-0057
Practice Address - Fax:305-445-0058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health