Provider Demographics
NPI:1942638721
Name:FLORIDA PREMIER HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:FLORIDA PREMIER HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FARHAT
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-810-9502
Mailing Address - Street 1:657 MAITLAND AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-6833
Mailing Address - Country:US
Mailing Address - Phone:407-810-9502
Mailing Address - Fax:
Practice Address - Street 1:657 MAITLAND AVE
Practice Address - Street 2:SUITE B
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-6833
Practice Address - Country:US
Practice Address - Phone:407-810-9502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-14
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health