Organization Active NPI

Premier Staffing Group Agency L.L.C

  • Home Health Agency
  • Southfield, MI
National Provider Identifier
1063230183
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PREMIER STAFFING GROUP AGENCY L.L.C
Practice address
17700 Northland Park CT Ste 6
Southfield, MI 48075-4302
Phone
(248) 787-1773
Fax
(216) 208-1472
NPI assigned
Sep 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Chinwe P Ohaka, NURSENPI 1700226875
Title
RN
Phone
(248) 787-1773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

17700 Northland Park CT Ste 6
Southfield, MI 48075-4302

Mailing address

17700 Northland Park CT Ste 6
Southfield, MI 48075-4302
Phone (248) 787-1773

Other names 1

  • PREMIER STAFFING GROUP AGENCY L.L.C Doing business as

National Provider Directory

National Provider Directory

Locations

17700 Northland Park Ct
Ste 6
Southfield, MI 48075
Phone (248) 787-1773

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1063230183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17700 NORTHLAND PARK CT STE 6",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754302",
            "telephone_number": "248-787-1773",
            "fax_number": "216-208-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17700 NORTHLAND PARK CT STE 6",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754302",
            "telephone_number": "248-787-1773",
            "fax_number": "216-208-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER STAFFING GROUP AGENCY L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "OHAKA",
        "authorized_official_first_name": "CHINWE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "248-787-1773",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREMIER STAFFING GROUP AGENCY L.L.C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.