Active NPI
Premier Care LLC
- Home Health Agency
- Columbus, OH
National Provider Identifier
1073607198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 367791
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2301306 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI 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.