Premier Healthcare Firm

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PREMIER HEALTHCARE FIRM

Practice address

106 Andrew PL
Sterling, VA 20164-4803

Phone

(240) 907-1343

NPI assigned

Apr 25, 2023

Organization subpart

No

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

Authorized official

Name

Mark Wallace

Title

Account Manager

Phone

(703) 546-6626

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1093403487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 GROVE ST STE 145",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ANDREW PL",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201644803",
            "telephone_number": "240-907-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTHCARE FIRM",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "703-546-6626"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Potomac Wellness
• Potomacaba PLLC (PotomacABA)
• Mojgan Pourakbar
• Rachel Ann Powell
• Praveena Petluri DMD PLLC
• Premise Health of Virginia Medical PC (Discovery Wellness Center Sterling)
• Ahalya Premkumar, MD
• Heather Price
• Prime Services LLC (Expedite Home Healthcare Services, LLC)
• Prime Vascular Care LLC

• Home Health Agency in Sterling, VA
• Providers in Sterling, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.