Active NPI
Premier Elite Care, LLC
- Home Health Agency
- Whitehall, PA
National Provider Identifier
1053717587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 24203601
- Legal business name
- PREMIER ELITE CARE, LLC
- Practice address
- 2715 Halleck Dr
Whitehall, PA 18052-3832 - Phone
- (610) 739-8690
- NPI assigned
- Nov 11, 2014
- 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
- Mrs. Akua Boateng, M.S.W, LSW.
- Title
- Owner
- Phone
- (610) 739-8690
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 24203601 | PA | Primary |
Addresses
Primary practice location
2715 Halleck Dr
Whitehall, PA 18052-3832
Mailing address
2715 Halleck Dr
Whitehall, PA 18052-3832
Phone (610) 739-8690
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415664000000",
"number": "1053717587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2715 HALLECK DR",
"city": "WHITEHALL",
"state": "PA",
"postal_code": "180523832",
"telephone_number": "610-739-8690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2715 HALLECK DR",
"city": "WHITEHALL",
"state": "PA",
"postal_code": "180523832",
"telephone_number": "610-739-8690"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER ELITE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-11",
"last_updated": "2014-11-11",
"status": "A",
"authorized_official_last_name": "BOATENG",
"authorized_official_first_name": "AKUA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "610-739-8690",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.S.W, LSW."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "24203601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whitehall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.