Premier Kids Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PREMIER KIDS HOME CARE, LLC

Practice address

1301 S Bowen Rd Ste 140
Arlington, TX 76013-2301

Phone

(469) 654-1245

Fax

(469) 485-7312

NPI assigned

Apr 12, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Marco Antonio Hernandez

Title

President

Phone

(817) 919-5929

Specialties & licenses 1

Addresses

Other names 1

• Premier Kids Home Care, LLC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1093569451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S BOWEN RD STE 140",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760132301",
            "telephone_number": "469-654-1245",
            "fax_number": "469-485-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S BOWEN RD STE 140",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760132301",
            "telephone_number": "469-654-1245",
            "fax_number": "469-485-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER KIDS HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-919-5929",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Kids Home Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Arlington, TX
• Providers in Arlington, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.