Provider Demographics
NPI:1790447886
Name:PREMIER HOME CARE, LLC
Entity Type:Organization
Organization Name:PREMIER HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:B
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-259-8229
Mailing Address - Street 1:7420 EAST M-36
Mailing Address - Street 2:SUITE 587
Mailing Address - City:HAMBURG
Mailing Address - State:MI
Mailing Address - Zip Code:48139-0541
Mailing Address - Country:US
Mailing Address - Phone:734-800-8036
Mailing Address - Fax:
Practice Address - Street 1:7741 HAMBURG RD
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-5135
Practice Address - Country:US
Practice Address - Phone:248-259-8229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health