Provider Demographics
NPI:1306002837
Name:PREMIER HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:PREMIER HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:A
Authorized Official - Last Name:RAZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-261-9950
Mailing Address - Street 1:35612 WEST MICHIGAN AVE
Mailing Address - Street 2:STE 1B
Mailing Address - City:WAYNE
Mailing Address - State:MI
Mailing Address - Zip Code:48184
Mailing Address - Country:US
Mailing Address - Phone:734-261-9950
Mailing Address - Fax:734-722-4355
Practice Address - Street 1:35612 WEST MICHIGAN AVE
Practice Address - Street 2:STE 1B
Practice Address - City:WAYNE
Practice Address - State:MI
Practice Address - Zip Code:48184
Practice Address - Country:US
Practice Address - Phone:734-261-9950
Practice Address - Fax:734-722-4355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-04
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI239042Medicare Oscar/Certification