Provider Demographics
NPI:1396305314
Name:1ST PREMIER HOME CARE LLC
Entity type:Organization
Organization Name:1ST PREMIER HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:MANWERE
Authorized Official - Last Name:OPOKU-MANU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-437-6313
Mailing Address - Street 1:13198 CENTERPOINTE WAY STE 102
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-5285
Mailing Address - Country:US
Mailing Address - Phone:202-437-6313
Mailing Address - Fax:
Practice Address - Street 1:13198 CENTERPOINTE WAY STE 102
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-5285
Practice Address - Country:US
Practice Address - Phone:202-437-6313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-20
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health