Premier Home Care Agency, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC3505 Issued in NC

Legal business name

PREMIER HOME CARE AGENCY, INC

Practice address

1305 Ramsey St
Suite 203
Fayetteville, NC 28301-4403

Phone

(910) 822-2540

Fax

(910) 483-1334

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Mary V McLaurin

Title

Ceo

Phone

(910) 822-2540

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245397884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2726",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283022726",
            "telephone_number": "910-822-2540",
            "fax_number": "910-483-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 RAMSEY ST",
            "address_2": "SUITE 203",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014403",
            "telephone_number": "910-822-2540",
            "fax_number": "910-483-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOME CARE AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCLAURIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-822-2540"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Fayetteville, NC
• Providers in Fayetteville, 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 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.