Premium Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

422367 Issued in NC

Legal business name

PREMIUM HOME HEALTH CARE, INC.

Practice address

102 A South 12TH Street
Erwin, NC 28339

Phone

(910) 442-7297

Fax

(910) 897-2805

NPI assigned

Jun 4, 2014

Organization subpart

No

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

Authorized official

Name

Jesse Frank Morris, BSBA, CNA, CMA

Title

Owner

Phone

(910) 442-7297

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1225441561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102A S 12TH ST",
            "city": "ERWIN",
            "state": "NC",
            "postal_code": "283392118",
            "telephone_number": "910-442-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 A SOUTH 12TH STREET",
            "city": "ERWIN",
            "state": "NC",
            "postal_code": "28339",
            "telephone_number": "910-442-7297",
            "fax_number": "910-897-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-442-7297",
        "authorized_official_credential": "BSBA, CNA, CMA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "422367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Erwin, NC
• Providers in Erwin, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.