Premier Support Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

0000000010 Issued in TN

Legal business name

PREMIER SUPPORT SERVICES, INC.

Doing business as

Interim HealthCare of East Tennessee

Practice address

2482 Brights Pike
Morristown, TN 37814-6315

Phone

(423) 587-8771

Fax

(423) 587-8773

NPI assigned

May 24, 2005

Last updated

Jun 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Randall Frye

Title

President

Phone

(276) 494-8119

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Interim HealthCare of East Tennessee Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013910793. Details of each certification follow.

• CCN 447404 Home health agency · Active · Details

Home health agency certification: CCN 447404

Legal name

PREMIER SUPPORT SERVICES, INC.

Doing business as

INTERIM HEALTHCARE OF EAST TENNESSEE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 6, 1984

Last certification

Jul 25, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 3, 1999 in TN

Enrollment address

2482 Brights Pike
Morristown, TN 37814-6315

Listed as

Interim Health Care of East TennesseeCCN 447404 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Jun 6, 1984

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Randall Sheets, MD

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1912949827

  5% Or Greater Indirect Ownership Interest, Corporate Director

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Miranda Michelle Beckler, FNP-BC

  • Family Nurse Practitioner
  • Morristown, TN
  • NPI 1235605296

  Home health agency

  Care Compare affiliation
• Heather Renee Shultz, FNP

  • Family Nurse Practitioner
  • Morristown, TN
  • NPI 1548445588

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1013910793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2482 BRIGHTS PIKE",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378146315",
            "telephone_number": "423-587-8771",
            "fax_number": "423-587-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2482 BRIGHTS PIKE",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378146315",
            "telephone_number": "423-587-8771",
            "fax_number": "423-587-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-494-8119"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "0000000010",
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chore Provider",
            "state": "TN",
            "license": "L000000006169",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VOLUNTEER STATE HEALTH PLAN",
            "identifier": "4261896",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "3162461",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE",
            "identifier": "0447404",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim HealthCare of East Tennessee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Harrold Lane Preyer

• Home Health Agency in Morristown, TN
• Providers in Morristown, TN by specialty
• Home Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.