Provider Demographics
NPI:1760024046
Name:1ST PREMIER HOME CARE, INC
Entity Type:Organization
Organization Name:1ST PREMIER HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DOLORAS
Authorized Official - Middle Name:BRIDGET
Authorized Official - Last Name:GRIEGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-291-4403
Mailing Address - Street 1:7609 S WAVERLY MTN
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-3923
Mailing Address - Country:US
Mailing Address - Phone:720-291-4403
Mailing Address - Fax:720-981-5483
Practice Address - Street 1:7609 S WAVERLY MTN
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-3923
Practice Address - Country:US
Practice Address - Phone:720-291-4403
Practice Address - Fax:720-981-5483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-08
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health