Provider Demographics
NPI:1760976518
Name:PREMIER HEALTH ASSOCIATES, INC.
Entity Type:Organization
Organization Name:PREMIER HEALTH ASSOCIATES, INC.
Other - Org Name:RIGHT AT HOME - SOUTHWEST MICHIGAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:J
Authorized Official - Last Name:NABOZNY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-423-4063
Mailing Address - Street 1:3492 BROPHY RD
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48855-9744
Mailing Address - Country:US
Mailing Address - Phone:810-423-4063
Mailing Address - Fax:
Practice Address - Street 1:1111 MAIN SR
Practice Address - Street 2:
Practice Address - City:ST JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085
Practice Address - Country:US
Practice Address - Phone:810-423-4063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-15
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health