Provider Demographics
NPI:1003531898
Name:PREMIER HEALTH LLC
Entity type:Organization
Organization Name:PREMIER HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABDALLAHI
Authorized Official - Middle Name:HASSAN
Authorized Official - Last Name:ADAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-735-7018
Mailing Address - Street 1:1220 BROOK AVE SE UNIT 38
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-4186
Mailing Address - Country:US
Mailing Address - Phone:612-735-7018
Mailing Address - Fax:612-326-6160
Practice Address - Street 1:1220 BROOK AVE SE UNIT 38
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414-4186
Practice Address - Country:US
Practice Address - Phone:612-735-7018
Practice Address - Fax:612-326-6160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health