Provider Demographics
NPI:1710424312
Name:PREMIER HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:PREMIER HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIZBET
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBIO
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:720-618-1413
Mailing Address - Street 1:11184 HURON ST STE 14
Mailing Address - Street 2:
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80234-3344
Mailing Address - Country:US
Mailing Address - Phone:720-500-2625
Mailing Address - Fax:720-253-0776
Practice Address - Street 1:11184 HURON ST STE 14
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-3344
Practice Address - Country:US
Practice Address - Phone:720-500-2625
Practice Address - Fax:720-253-0776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-21
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04R581251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health