Provider Demographics
NPI:1548769326
Name:PREMIER CARE LLC DBA ELDER LIFE HOME CARE LLC
Entity Type:Organization
Organization Name:PREMIER CARE LLC DBA ELDER LIFE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:S
Authorized Official - Last Name:PARNES
Authorized Official - Suffix:
Authorized Official - Credentials:ACSW, LCSW, CMC
Authorized Official - Phone:732-493-8080
Mailing Address - Street 1:ONE HOVCHILD BLVD. 4000 ROUTE 66
Mailing Address - Street 2:SUITE 225
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07753
Mailing Address - Country:US
Mailing Address - Phone:732-493-8080
Mailing Address - Fax:732-493-8810
Practice Address - Street 1:4000 ROUTE 66 E
Practice Address - Street 2:STE 225
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07753
Practice Address - Country:US
Practice Address - Phone:732-493-8080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-07
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health