Premier Home Care 1 LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PREMIER HOME CARE 1 LLC

Doing business as

Amada Senior Care of Bentonville AR
DJP and JPB Management Inc

Practice address

600 S 1St St
Rogers, AR 72756-4670

Phone

(918) 851-4334

NPI assigned

Feb 11, 2025

Last updated

Jul 30, 2025By 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

Dakota James Pruitt

Title

Owner

Phone

(918) 851-4334

Specialties & licenses 1

Addresses

Other names 2

• Amada Senior Care of Bentonville AR Doing business as
• DJP and JPB Management Inc Doing business as

Locations

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1063227528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6736 N 129TH EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740557160",
            "telephone_number": "918-851-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 1ST ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727564670",
            "telephone_number": "918-851-4334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 SE 28th St",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727123880",
            "country_code": "US",
            "telephone_number": "479-448-5919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER HOME CARE 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "DAKOTA",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-851-4334"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amada Senior Care of Bentonville AR",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amada Senior Care of Bentonville AR",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DJP and JPB Management Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Rogers, AR
• Providers in Rogers, AR by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.