Organization Active NPI

Premier Home Care, Inc

  • Oxygen Equipment & Supplies (DME)
  • Scottsburg, IN
National Provider Identifier
1124000625
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
PREMIER HOME CARE, INC
Practice address
575 S Lake Rd S
Scottsburg, IN 47170
Phone
(812) 752-9449
NPI assigned
Nov 18, 2005
Organization subpart
Yes
Parent organization
AEROCARE HOLDINGS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Authorized official

Name
Mr. Stephen P Griggs
Title
Ceo, President
Phone
(407) 206-0040

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 9800001382378 IN
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

575 S Lake Rd S
Scottsburg, IN 47170

Mailing address

3325 Bartlett Blvd
Orlando, FL 32811-6428
Phone (407) 206-0040

Other identifiers 5

IdentifierTypeStateIssuer
000000182476OtherINANTHEM
389449POtherINSIHO
400030OtherINBLACK LUNG
200147650MedicaidIN
63556OtherINAPB

National Provider Directory

National Provider Directory
Part of
Aerocare Holdings Inc

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

575 S Lake Rd S
Scottsburg, IN 47170
Phone (812) 752-9449

612 E Dixie Ave
Elizabethtown, KY 42701
Phone (270) 982-5800

1364 S Laurel Rd
London, KY 40744
Phone (606) 657-5912

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1124000625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 BARTLETT BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328116428",
            "telephone_number": "407-206-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S LAKE RD S",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "47170",
            "telephone_number": "812-752-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOME CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AEROCARE HOLDINGS, INC",
        "enumeration_date": "2005-11-18",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "GRIGGS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "407-206-0040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "9800001382378",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000182476",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "389449P",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "400030",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200147650",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APB",
            "identifier": "63556",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.