Organization Active NPI

Premier Holdings Management Inc

Doing business as Glory Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Lynbrook, NY
National Provider Identifier
1407579410
Registry record updated Dec 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PREMIER HOLDINGS MANAGEMENT INC
Doing business as
Glory Medical Supply
Practice address
146 Hendrickson Ave
Lynbrook, NY 11563-1038
Phone
(347) 256-3910
NPI assigned
Sep 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2025

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

Authorized official

Name
Bianca Mayard Francois
Title
Ceo
Phone
(516) 218-1247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

146 Hendrickson Ave
Lynbrook, NY 11563-1038

Mailing address

57 Lincoln Ave
Deer Park, NY 11729-7015
Phone (516) 218-1247

Other names 1

  • Glory Medical Supply Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231212002511 NY DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply Company With Pedorthic Personnel 8729437017 Practice locations: Lynbrook, NY

National Provider Directory

National Provider Directory

Locations

146 Hendrickson Ave
Lynbrook, NY 11563
Phone (347) 256-3910

NPI Registry JSON

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765584000000",
    "number": "1407579410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 LINCOLN AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117297015",
            "telephone_number": "516-218-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 HENDRICKSON AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631038",
            "telephone_number": "347-256-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOLDINGS MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2025-12-13",
        "certification_date": "2025-12-13",
        "status": "A",
        "authorized_official_last_name": "MAYARD FRANCOIS",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-218-1247"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glory Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.