Premier Senior Home Care L.L.C

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PREMIER SENIOR HOME CARE L.L.C

Doing business as

Premier Senior Home Care

Practice address

23135 21 Mile Rd
Macomb, MI 48042-5182

Phone

(586) 741-5807

NPI assigned

Apr 4, 2023

Organization subpart

No

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

Authorized official

Name

Jerell McKitchen, RN

Title

Owner/Ceo

Phone

(586) 925-0115

Specialties & licenses 1

Addresses

Other names 1

• Premier Senior Home Care Doing business as

Locations

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1386349843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23135 21 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480425182",
            "telephone_number": "586-741-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23135 21 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480425182",
            "telephone_number": "586-741-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SENIOR HOME CARE L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "MCKITCHEN",
        "authorized_official_first_name": "JERELL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "586-925-0115",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Senior Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Macomb, MI
• Providers in Macomb, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.