Premier Home Health Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA6631 Issued in AZ

Legal business name

PREMIER HOME HEALTH AGENCY

Practice address

3555 Western Ave
Kingman, AZ 86409

Phone

(928) 377-1004

Fax

(928) 757-7179

NPI assigned

Oct 3, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Heather D Blanchart

Title

Office Manager

Phone

(928) 377-1004

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zaffar Iqbal, M.D.

  • Internal Medicine Physician
  • Kingman, AZ
  • NPI 1316137169
  NPD (past)
• Ekaterina Mironova, AG-ACNP

  • Acute Care Nurse Practitioner
  • Derry, NH
  • NPI 1740697960
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1003219007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 WESTERN AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093011",
            "telephone_number": "928-377-1004",
            "fax_number": "928-757-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 WESTERN AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "86409",
            "telephone_number": "928-377-1004",
            "fax_number": "928-757-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "BLANCHART",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-377-1004",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA6631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph John Poschner
• Brent Potter
• Melissa Lynne Potts, D.O.
• Krista Jane Powell, LPN
• Premier Chronic Care Management, PLLC
• Chelsea Presbrey, D.O.
• Prescott Healthcare Solutions LLC
• Prescott Healthcare Solutions LLC
• Prescott Vamc
• Prestige Laser and Cataract Institute LLC

• Home Health Agency in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.