Organization Active NPI

Premier Home Care Inc

  • Home Health Registered Nurse
  • Buena Vista, CO
National Provider Identifier
1114949609
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
PREMIER HOME CARE INC
Practice address
28350 CR 317
Suite 1
Buena Vista, CO 81211-5007
Phone
(719) 395-3124
Fax
(719) 395-3128
NPI assigned
Jul 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lawanna L Best, R.N.
Title
Coo
Phone
(719) 395-3124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X Primary

Addresses

Primary practice location

28350 CR 317
Suite 1
Buena Vista, CO 81211-5007

Mailing address

PO Box 5007
28350 CR 317, Suite 1
Buena Vista, CO 81211-5007
Phone (719) 395-3124

Other identifiers 1

IdentifierTypeStateIssuer
54229863MedicaidCO

Other names 1

  • Premier Therapies Doing business as

National Provider Directory

National Provider Directory

Locations

28350 County Road 317
Unit 1
Buena Vista, CO 81211
Phone (719) 395-3124

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114949609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5007",
            "address_2": "28350 CR 317, SUITE 1",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "812115007",
            "telephone_number": "719-395-3124",
            "fax_number": "719-395-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28350 CR 317",
            "address_2": "SUITE 1",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "812115007",
            "telephone_number": "719-395-3124",
            "fax_number": "719-395-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEST",
        "authorized_official_first_name": "LAWANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "719-395-3124",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54229863",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Therapies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buena Vista, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.