Provider Demographics
NPI:1881770022
Name:PREMIER HOME CARE INC
Entity type:Organization
Organization Name:PREMIER HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-567-2993
Mailing Address - Street 1:313 E WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:GA
Mailing Address - Zip Code:31714-5248
Mailing Address - Country:US
Mailing Address - Phone:229-567-2993
Mailing Address - Fax:229-567-2944
Practice Address - Street 1:313 E WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:GA
Practice Address - Zip Code:31714-5248
Practice Address - Country:US
Practice Address - Phone:229-567-2993
Practice Address - Fax:229-567-2944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAC08403477Medicaid
GA4527560001Medicare NSC