Provider Demographics
NPI:1598037871
Name:PREMIER IN-HOME CARE, INC.
Entity Type:Organization
Organization Name:PREMIER IN-HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUSTUS
Authorized Official - Middle Name:NZOMO
Authorized Official - Last Name:MULWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-455-3030
Mailing Address - Street 1:PO BOX 4095
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20914-4095
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11456 STEWART LN
Practice Address - Street 2:#: D2
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-2232
Practice Address - Country:US
Practice Address - Phone:301-326-2225
Practice Address - Fax:301-326-2270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-02
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3114P251E00000X, 251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care