Premier Hospice & Homecare

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PREMIER HOSPICE & HOMECARE

Practice address

23300 Cinema Dr Ste 285
Valencia, CA 91355-1789

Phone

(800) 857-1467

NPI assigned

Jul 1, 2013

Last updated

Oct 12, 2021By 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

Franklin S Barzaga

Title

VP

Phone

(661) 977-3504

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093155343. Details of each certification follow.

• CCN 751647 Hospice · Active · Details

Hospice certification: CCN 751647

Legal name

PREMIER HOSPICE & HOMECARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 14, 2015

Last certification

Jul 9, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

May 17, 2013 in CA

Enrollment address

23300 Cinema Dr
Ste 285
Valencia, CA 91355-1789

Listed as

Premier Hospice & Home CareCCN 751647 · All quality measures

Ownership

For-Profit

Certified

Jan 14, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Amikjit Singh Reen, M.D.

  • Internal Medicine Physician
  • Ridgecrest, CA
  • NPI 1720061112

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1093155343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23300 CINEMA DR STE 285",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551789",
            "telephone_number": "800-857-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23300 CINEMA DR STE 285",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551789",
            "telephone_number": "800-857-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOSPICE & HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "BARZAGA",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "661-977-3504"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtenay Camille Poucher, MD
• Neda Pourshahidi
• Caper Powell
• Power Therapeutics, LLC
• Kaitlyn Powers, FNP
• Joel Price
• Savannah Paige Price
• John Joseph Prieto, CERTIFIED COUNSELOR
• Prime Diagnostics Laboratories
• Prime Mobile Physicians Network, Inc

• Community Based Hospice Care Agency in Valencia, CA
• Providers in Valencia, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.