Provider Demographics
NPI:1023583366
Name:PREMIER HOME MODIFICATIONS LLC
Entity type:Organization
Organization Name:PREMIER HOME MODIFICATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:H
Authorized Official - Last Name:BERAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-849-4258
Mailing Address - Street 1:23651 DELMERE DR STE B106
Mailing Address - Street 2:
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-1668
Mailing Address - Country:US
Mailing Address - Phone:216-849-4258
Mailing Address - Fax:
Practice Address - Street 1:23651 DELMERE DR STE B106
Practice Address - Street 2:
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-1668
Practice Address - Country:US
Practice Address - Phone:216-849-4258
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-12
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment