Provider Demographics
NPI:1568817310
Name:PREMIER HEALTH CARE, LLC
Entity Type:Organization
Organization Name:PREMIER HEALTH CARE, LLC
Other - Org Name:PREMIER HME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CATONDRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-388-2228
Mailing Address - Street 1:2855 STAGE VILLAGE CV
Mailing Address - Street 2:SUITE # 5
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38134-4616
Mailing Address - Country:US
Mailing Address - Phone:901-388-2228
Mailing Address - Fax:901-388-2219
Practice Address - Street 1:2855 STAGE VILLAGE CV
Practice Address - Street 2:SUITE # 5
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-4616
Practice Address - Country:US
Practice Address - Phone:901-388-2228
Practice Address - Fax:901-388-2219
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PREMIER HEALTH CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-04-29
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies