NPIMap

Organization Active NPI

Premier Independent Quality Services

  • Home Health Agency
  • Dayton, OH
National Provider Identifier
1013339324
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
52793274 Issued in OH
Legal business name
PREMIER INDEPENDENT QUALITY SERVICES
Practice address
111 South Broadway Street
Dayton, OH 45402
Phone
(937) 528-1027
NPI assigned
Jan 7, 2014
Last updated
Jan 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Mrs. Tamara Evans
Title
Executive Director
Phone
(937) 528-1027

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 52793274 OH Primary
Non-emergency Medical Transport (VAN) 343900000X RU426244 OH

Addresses

Primary practice location

111 South Broadway Street
Dayton, OH 45402

Mailing address

111 South Broadway Street
Dayton, OH 45402
Phone (937) 528-1027

National Provider Directory

National Provider Directory

Locations

111 S Broadway St
Dayton, OH 45402
Phone (937) 528-1027

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1013339324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SOUTH BROADWAY STREET",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45402",
            "telephone_number": "937-528-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SOUTH BROADWAY STREET",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45402",
            "telephone_number": "937-528-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER INDEPENDENT QUALITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "937-528-1027",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "52793274",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "RU426244",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.