Provider Demographics
NPI:1518151810
Name:PREMIERE HOME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:PREMIERE HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MYRA
Authorized Official - Middle Name:MONSALES
Authorized Official - Last Name:CABAHUG
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:516-509-6291
Mailing Address - Street 1:3939 BEECHWOOD PL
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-2026
Mailing Address - Country:US
Mailing Address - Phone:516-509-6291
Mailing Address - Fax:
Practice Address - Street 1:3939 BEECHWOOD PL
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:NY
Practice Address - Zip Code:11783-2026
Practice Address - Country:US
Practice Address - Phone:516-509-6291
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015778-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health