Provider Demographics
NPI:1376340638
Name:PHOENIX PREMIER HOME CARE SERVICES
Entity type:Organization
Organization Name:PHOENIX PREMIER HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:POWELLS
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:765-336-9558
Mailing Address - Street 1:4343 S 103RD AVE UNIT 195
Mailing Address - Street 2:
Mailing Address - City:TOLLESON
Mailing Address - State:AZ
Mailing Address - Zip Code:85353-1799
Mailing Address - Country:US
Mailing Address - Phone:765-336-9558
Mailing Address - Fax:480-718-7589
Practice Address - Street 1:4343 S 103RD AVE UNIT 195
Practice Address - Street 2:
Practice Address - City:TOLLESON
Practice Address - State:AZ
Practice Address - Zip Code:85353-1799
Practice Address - Country:US
Practice Address - Phone:765-336-9558
Practice Address - Fax:480-718-7589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health