Provider Demographics
NPI:1568736502
Name:PREMIER HOME HEALTH SOLUTIONS
Entity Type:Organization
Organization Name:PREMIER HOME HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIAN
Authorized Official - Middle Name:HAWKINS
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:252-321-6076
Mailing Address - Street 1:3107 EVANS ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-7690
Mailing Address - Country:US
Mailing Address - Phone:252-321-6076
Mailing Address - Fax:
Practice Address - Street 1:3107 EVANS ST
Practice Address - Street 2:SUITE F
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-7690
Practice Address - Country:US
Practice Address - Phone:252-321-6076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC00015404 SC251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health