Organization Active NPI

Premier Care LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1073607198
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
367791 Issued in OH
Legal business name
PREMIER CARE LLC
Practice address
134 Northwoods Blvd Ste A2
Columbus, OH 43235-4727
Phone
(614) 431-0599
Fax
(614) 431-0596
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Ms. Lynn Gray, RN
Title
Ceo
Phone
(614) 431-0599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 367791 OH Primary

Addresses

Primary practice location

134 Northwoods Blvd Ste A2
Columbus, OH 43235-4727

Mailing address

134 Northwoods Blvd Ste A2
Columbus, OH 43235-4727
Phone (614) 431-0599

Other identifiers 1

IdentifierTypeStateIssuer
2301306MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1073607198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 NORTHWOODS BLVD STE A2",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354727",
            "telephone_number": "614-431-0599",
            "fax_number": "614-431-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 NORTHWOODS BLVD STE A2",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354727",
            "telephone_number": "614-431-0599",
            "fax_number": "614-431-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-431-0599",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "367791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2301306",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.