Organization Active NPI

Premier Healthcare Group LLC

  • Home Health Agency
  • Manassas, VA
National Provider Identifier
1275062010
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PREMIER HEALTHCARE GROUP LLC
Practice address
9853 Business Way
Manassas, VA 20110-4152
Phone
(571) 393-3700
NPI assigned
Jun 6, 2017
Last updated
Aug 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Premier Healthcare Group LLC
Title
Owner
Phone
(703) 393-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

9853 Business Way
Manassas, VA 20110-4152

Mailing address

13694 Rita Way
Gainesville, VA 20155-3664
Phone (571) 393-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180315001292 VA Part A Provider - Home Health Agency 3476815234 Practice locations: Manassas, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275062010. Details of each certification follow.

Home health agency certification: CCN 497756

Legal name
HUMBLE HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 1, 2018
Last certification
Aug 1, 2018
Ownership / control type
Non-Profit
Organization structure
LLCProprietary
Incorporated
Jun 6, 2017 in VA
Enrollment address
9853 Business Way
Manassas, VA 20110-4152

Care Compare: Home health agency

Medicare Care Compare
Listed as
Humble Home Health LLCCCN 497756 · All quality measures
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Aug 1, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Aminata Nabie-Conteh Individual 5% Or Greater Direct Ownership Interest Jun 6, 2017 50%
Corporate DirectorOwner, VP Jun 6, 2017
Rashid Conteh Individual Corporate DirectorTreasurer Jun 6, 2017
Idrissa Conteh Individual Corporate DirectorSecretary Jun 6, 2017
Abdul Conteh Individual 5% Or Greater Direct Ownership Interest Jun 6, 2017 50%
Corporate DirectorOwner, President Jun 6, 2017
W-2 Managing EmployeeOwner, President Jun 6, 2014

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1275062010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13694 RITA WAY",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553664",
            "telephone_number": "571-393-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9853 BUSINESS WAY",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104152",
            "telephone_number": "571-393-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTHCARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "GROUP LLC",
        "authorized_official_first_name": "PREMIER HEALTHCARE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-393-3700"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.