Provider Demographics
NPI:1679654511
Name:PREMIER HOME CARE, INC.
Entity Type:Organization
Organization Name:PREMIER HOME CARE, INC.
Other - Org Name:PURPLE HEARTS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HOLLYE
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:ROSEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:888-763-3274
Mailing Address - Street 1:148 QUITMAN ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:TX
Mailing Address - Zip Code:75686-1362
Mailing Address - Country:US
Mailing Address - Phone:888-763-3274
Mailing Address - Fax:877-667-0681
Practice Address - Street 1:148 QUITMAN ST
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:TX
Practice Address - Zip Code:75686-1362
Practice Address - Country:US
Practice Address - Phone:888-763-3274
Practice Address - Fax:877-667-0881
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:016257
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-18
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX016257251E00000X
253Z00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX016257OtherPERSONAL CARE ASSISTANCE
TX679696OtherMEDICARE