Provider Demographics
NPI:1609046242
Name:PREMIER POINT HOME HEALTH, INC.
Entity Type:Organization
Organization Name:PREMIER POINT HOME HEALTH, INC.
Other - Org Name:PREMIER POINT HOME HEALTH, NFP
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LANRE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHOMADE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:773-275-8390
Mailing Address - Street 1:4701 N SHERIDAN RD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-5021
Mailing Address - Country:US
Mailing Address - Phone:773-275-8390
Mailing Address - Fax:773-275-8395
Practice Address - Street 1:4701 N SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-5021
Practice Address - Country:US
Practice Address - Phone:773-275-8390
Practice Address - Fax:773-275-8395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-11
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010827251E00000X
261QI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy