Provider Demographics
NPI:1396315297
Name:PREMIER HOME CARE SOLUTIONS, LLC
Entity type:Organization
Organization Name:PREMIER HOME CARE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHEREDA
Authorized Official - Middle Name:DENAY
Authorized Official - Last Name:ARVIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-290-2517
Mailing Address - Street 1:6719 HUNTERS TRACE LN
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-6551
Mailing Address - Country:US
Mailing Address - Phone:337-290-2517
Mailing Address - Fax:
Practice Address - Street 1:6719 HUNTERS TRACE LN
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-6551
Practice Address - Country:US
Practice Address - Phone:337-290-2517
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty