Active NPI
Premier Healthcare Group LLC
- Home Health Agency
- Manassas, VA
National Provider Identifier
1275062010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Overall star rating
- Ownership
- Non-Profit
- Certified
- Aug 1, 2018
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Aminata Nabie-Conteh | 5% Or Greater Direct Ownership Interest | Jun 6, 2017 | 50% |
| Corporate Director | Jun 6, 2017 | ||
| Rashid Conteh | Corporate Director | Jun 6, 2017 | |
| Idrissa Conteh | Corporate Director | Jun 6, 2017 | |
| Abdul Conteh | 5% Or Greater Direct Ownership Interest | Jun 6, 2017 | 50% |
| Corporate Director | Jun 6, 2017 | ||
| W-2 Managing Employee | Jun 6, 2014 |
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Ashburn, VA
- NPI 1154588580
Home health agency
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
- Vikram Prasanna, M.D.
- Katie Pratt
- Amy Prechel, OTR/L
- Premier Allergy and Asthma Centers, LLC
- Premier Dental Group PLLC (Lighthouse Pediatric Dental Team)
- Premise Health of Connecticut Medical, P.C. (MTV Health Center)
- Premise Health of Virginia Medical PC (The Wellness Center Operated by Premise Health)
- Premise Health of Virginia Medical PC (Novec - Manassas)
- Premise Health of Virginia Medical, P.C (BAE Systems Manassas VA)
- Premium Petal LLC (Premium Petal Medical Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.