Organization Active NPI

Premier Health & Wellness Center, Inc

  • Dialysis Equipment & Supplies (DME)
  • Mint Hill, NC
National Provider Identifier
1033630215
Registry record updated Jun 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dialysis Equipment & Supplies (DME)Taxonomy code 332BD1200X
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2017

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.