Active NPI
Premier Home Care, Inc
- Oxygen Equipment & Supplies (DME)
- Scottsburg, IN
National Provider Identifier
1124000625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- 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, INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000182476 | Other | IN | ANTHEM |
| 389449P | Other | IN | SIHO |
| 400030 | Other | IN | BLACK LUNG |
| 200147650 | Medicaid | IN | |
| 63556 | Other | IN | APB |
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.
-
dba AdaptHealth
- Durable Medical Equipment & Medical Supplies
- Lone Tree, CO
- NPI 1366036626
Member Of
-
dba AeroCare
- Oxygen Equipment & Supplies (DME)
- Canon City, CO
- NPI 1326087735
Member Of
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.