Active NPI
Premier Health & Wellness Center, Inc
- Dialysis Equipment & Supplies (DME)
- Mint Hill, NC
National Provider Identifier
1033630215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dialysis Equipment & Supplies (DME)
- Legal business name
- PREMIER HEALTH & WELLNESS CENTER, INC
- Practice address
- 4614 Wilgrove Mint Hill Rd
Mint Hill, NC 28227-3500 - Phone
- (704) 408-1813
- NPI assigned
- Jun 28, 2017
- Last updated
- Jun 28, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Beatrice Sherrill
- Title
- Ceo
- Phone
- (704) 408-1813
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dialysis Equipment & Supplies (DME) | 332BD1200X | Primary |
Addresses
Primary practice location
4614 Wilgrove Mint Hill Rd
Mint Hill, NC 28227-3500
Mailing address
401 Hawthorne LN Ste 110-192
Charlotte, NC 28204-2484
Phone (704) 606-4166
National Provider Directory
National Provider DirectoryLocations
401 Hawthorne Ln
Ste 110192
Charlotte, NC 28204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1498608000000",
"number": "1033630215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 HAWTHORNE LN STE 110-192",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042484",
"telephone_number": "704-606-4166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4614 WILGROVE MINT HILL RD",
"city": "MINT HILL",
"state": "NC",
"postal_code": "282273500",
"telephone_number": "704-408-1813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER HEALTH & WELLNESS CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-28",
"last_updated": "2017-06-28",
"status": "A",
"authorized_official_last_name": "SHERRILL",
"authorized_official_first_name": "BEATRICE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "704-408-1813",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332BD1200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mint Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.