Provider Demographics
NPI:1871001610
Name:PREMIER HOME HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:PREMIER HOME HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NIMO
Authorized Official - Middle Name:M
Authorized Official - Last Name:MUSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-223-6744
Mailing Address - Street 1:1422 W LAKE ST STE 213
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-2616
Mailing Address - Country:US
Mailing Address - Phone:612-223-6744
Mailing Address - Fax:612-223-6773
Practice Address - Street 1:2909 HENNEPIN AVE STE 200
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-1909
Practice Address - Country:US
Practice Address - Phone:612-223-6744
Practice Address - Fax:612-223-6773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-15
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health