Premier Homecare Angels, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PREMIER HOMECARE ANGELS, INC

Practice address

1516 Oak St Ste 105
Alameda, CA 94501-2953

Phone

(510) 227-5391

Fax

(877) 572-8242

NPI assigned

Nov 1, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Tedd Mendoza

Title

Ceo

Phone

(510) 331-6970

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1386351161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 MARINA VILLAGE PKWY # 682",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011048",
            "telephone_number": "510-331-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 OAK ST STE 105",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945012953",
            "telephone_number": "510-227-5391",
            "fax_number": "877-572-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOMECARE ANGELS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "TEDD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-331-6970",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alondra Prado
• Reha Prasad
• Rebecca Lynne Prather, M.S., CCC-SLP
• Jacob Andrew Pratt, MA
• Premier Healthcare Services, LLC (Aveanna Healthcare)
• Vanesa Rae Presa, DIPLOMA
• Jaymie Layla Pressley
• Christinemelody Joyce Price
• Tamia Price
• Leslie Julian Prins, D.C .

• In Home Supportive Care Agency in Alameda, CA
• Providers in Alameda, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.