Provider Demographics
NPI:1568035855
Name:PREEMINENT HOME HEALTH LLC
Entity Type:Organization
Organization Name:PREEMINENT HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MRS
Authorized Official - First Name:GIFTY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANKRAH
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGER
Authorized Official - Phone:980-328-7778
Mailing Address - Street 1:10926 QUALITY DR UNIT 410421
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28241-0193
Mailing Address - Country:US
Mailing Address - Phone:980-328-7778
Mailing Address - Fax:
Practice Address - Street 1:1566 UNION RD STE E
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-5301
Practice Address - Country:US
Practice Address - Phone:980-328-7778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-23
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty