Provider Demographics
NPI:1467728162
Name:PREMIER HOME HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:PREMIER HOME HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:TURCHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW MPA
Authorized Official - Phone:914-428-7722
Mailing Address - Street 1:445 HAMILTON AVE
Mailing Address - Street 2:10TH FLOOR
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-1807
Mailing Address - Country:US
Mailing Address - Phone:914-428-7722
Mailing Address - Fax:914-428-2404
Practice Address - Street 1:777 SUMMER ST
Practice Address - Street 2:SUITE 401
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06901-1022
Practice Address - Country:US
Practice Address - Phone:203-323-3000
Practice Address - Fax:203-323-3399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-27
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA0000640372600000X, 376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTHCA0000640OtherSTATE LICENSE