Premiere Plus Home Health Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

012583 Issued in TX

Legal business name

PREMIERE PLUS HOME HEALTH SERVICES

Practice address

8262 Abrams Rd
Dallas, TX 75231-1402

Phone

(214) 741-6191

Fax

(214) 741-6192

NPI assigned

Apr 20, 2009

Organization subpart

No

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

Authorized official

Name

Jerry Freeny

Title

Cfo

Phone

(214) 741-6191

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 743152

Legal name

PREMIERE PLUS HOME HEALTH SERVICES

Doing business as

PREMIERE PLUS HOME HEALTH SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 30, 2008

Last certification

Jun 1, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Nov 10, 2008 in TX

Enrollment address

8262 Abrams Rd
Dallas, TX 75231-1402

Listed as

Premiere Home Health ServicesCCN 743152

Ownership

Proprietary

Certified

Jun 30, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fred Waithaka Kioni

  • Home Health Agency
  • Dallas, TX
  • NPI 1972701142
  NPD (past)

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1295978377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8262 ABRAMS RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752311402",
            "telephone_number": "214-741-6191",
            "fax_number": "214-741-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8262 ABRAMS RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752311402",
            "telephone_number": "214-741-6191",
            "fax_number": "214-741-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE PLUS HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "FREENY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "214-741-6191"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "012583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER / P10",
            "identifier": "743152",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "012583",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Dallas, TX
• Providers in Dallas, TX by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.

Verify at the official NPI Registry.