Provider Demographics
NPI:1851632897
Name:PREMIER CHOICE HOME HEALTHCARE SERVICES , LLC
Entity Type:Organization
Organization Name:PREMIER CHOICE HOME HEALTHCARE SERVICES , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:K
Authorized Official - Last Name:AHIEKPOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-944-9903
Mailing Address - Street 1:1997 E DUBLIN GRANVILLE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3527
Mailing Address - Country:US
Mailing Address - Phone:614-737-3755
Mailing Address - Fax:419-437-2695
Practice Address - Street 1:1997 E DUBLIN GRANVILLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3527
Practice Address - Country:US
Practice Address - Phone:614-737-3755
Practice Address - Fax:419-437-2695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-14
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health