Premier Service LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PREMIER SERVICE LLC

Practice address

1835 University Ave W Unit E515
Saint Paul, MN 55104-3971

Phone

(612) 208-7728

NPI assigned

Sep 9, 2022

Organization subpart

No

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

Authorized official

Name

Muna Ali

Title

Owner

Phone

(612) 208-7728

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662768000000",
    "number": "1326769019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 MINNEHAHA AVE STE 130",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063777",
            "telephone_number": "612-208-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 UNIVERSITY AVE W UNIT E515",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043971",
            "telephone_number": "612-208-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-10",
        "certification_date": "2022-09-10",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MUNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-208-7728"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• In Home Supportive Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2022; 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.