Provider Demographics
NPI:1659822575
Name:PREMIER HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:PREMIER HOME HEALTHCARE LLC
Other - Org Name:PREMIER HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:VANESSA
Authorized Official - Last Name:ORRANTIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-636-4591
Mailing Address - Street 1:3369 PARK RIDGE PL
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-1106
Mailing Address - Country:US
Mailing Address - Phone:575-636-5221
Mailing Address - Fax:575-233-6288
Practice Address - Street 1:855 W PICACHO AVE
Practice Address - Street 2:SUITE A
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-2204
Practice Address - Country:US
Practice Address - Phone:575-636-5221
Practice Address - Fax:575-233-6288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-14
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No347C00000XTransportation ServicesPrivate Vehicle
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child