Provider Demographics
NPI:1962611160
Name:PREMIER HME HEALTH CARE
Entity type:Organization
Organization Name:PREMIER HME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN,EDUCATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NORA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARTHUR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:718-828-4700
Mailing Address - Street 1:1809 ADAM CLAYTON POWELL JR BLVD
Mailing Address - Street 2:#4F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026-3607
Mailing Address - Country:US
Mailing Address - Phone:212-865-2464
Mailing Address - Fax:
Practice Address - Street 1:1800 WHITE PLAINS RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-1408
Practice Address - Country:US
Practice Address - Phone:718-828-4700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5550325251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health