NPIMap

Organization Active NPI

Premier Live-Ins, Inc.

  • Home Health Registered Nurse
  • Northborough, MA
National Provider Identifier
1316254543
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
7246 Issued in MA
Legal business name
PREMIER LIVE-INS, INC.
Practice address
300 W Main St
BLDG. a, Suite 5
Northborough, MA 01532-2132
Phone
(508) 393-8570
Fax
(508) 393-8610
NPI assigned
Sep 9, 2010
Last updated
Sep 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Mr. Gregory Turchan, MSW, MPA
Title
Chief Financial Officer
Phone
(914) 428-7722

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7246 MA
Home Health Registered Nurse 163WH0200X 7246 MA Primary

Addresses

Primary practice location

300 W Main St
BLDG. a, Suite 5
Northborough, MA 01532-2132

Mailing address

445 Hamilton Ave
10TH Floor
White Plains, NY 10601-1807
Phone (914) 428-7722

Other identifiers 3

IdentifierTypeStateIssuer
7245OtherMALICENSE TO ESTABLISH AND CONDUCT AN EMPLOYMENT AGENCY
7246OtherMALICENSE TO ESTABLISH AND CONDUCT AN EMPLOYMENT AGENCY
7247OtherMALICENSE TO ESTABLISH AND CONDUCT AN EMPLOYMENT AGENCY

National Provider Directory

National Provider Directory

Locations

300 W Main St
#A5
Northborough, MA 01532
Phone (508) 393-8570

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1316254543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 HAMILTON AVE",
            "address_2": "10TH FLOOR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011807",
            "telephone_number": "914-428-7722",
            "fax_number": "914-428-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W MAIN ST",
            "address_2": "BLDG. A, SUITE 5",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015322132",
            "telephone_number": "508-393-8570",
            "fax_number": "508-393-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER LIVE-INS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "TURCHAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "914-428-7722",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, MPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "7246",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MA",
            "license": "7246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE TO ESTABLISH AND CONDUCT AN EMPLOYMENT AGENCY",
            "identifier": "7245",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE TO ESTABLISH AND CONDUCT AN EMPLOYMENT AGENCY",
            "identifier": "7246",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE TO ESTABLISH AND CONDUCT AN EMPLOYMENT AGENCY",
            "identifier": "7247",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.