Provider Demographics
NPI:1790181246
Name:PREMIER HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:PREMIER HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MALLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-204-7930
Mailing Address - Street 1:790 E COLORADO BLVD
Mailing Address - Street 2:SUITE 850
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2113
Mailing Address - Country:US
Mailing Address - Phone:626-204-7930
Mailing Address - Fax:626-204-7950
Practice Address - Street 1:1450 N TUSTIN AVE
Practice Address - Street 2:SUITE 140
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-8640
Practice Address - Country:US
Practice Address - Phone:626-204-7930
Practice Address - Fax:626-204-7950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-11
Last Update Date:2014-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health