Active NPI
Premier Home Care, Inc.
- Home Health Agency
- Huntingdon Valley, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 02620501
- Legal business name
- PREMIER HOME CARE, INC.
- Practice address
- 1800 Byberry Rd Ste 1201
Huntingdon Valley, PA 19006-3524 - Phone
- (215) 969-2225
- Fax
- (215) 969-2276
- NPI assigned
- May 9, 2006
- Last updated
- Nov 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Irene Michelle Brotsky
- Title
- President
- Phone
- (215) 969-2225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 02620501 | PA | Primary |
Addresses
Primary practice location
1800 Byberry Rd Ste 1201
Huntingdon Valley, PA 19006-3524
Mailing address
1800 Byberry Rd Ste 1201
Huntingdon Valley, PA 19006-3524
Phone (215) 969-2225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1015021530001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051006000300 | PA | Part A Provider - Home Health Agency | 7315962677 | Practice locations: Huntingdon Valley, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1417906264. Details of each certification follow.
Home health agency certification: CCN 398040
- Legal name
- PREMIER HOME CARE, INC.
- Doing business as
- PREMIER HOME CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 8, 2005
- Last certification
- Sep 18, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jan 12, 2000 in PA
- Enrollment address
- 1800 Byberry Rd
Ste 1201
Huntingdon Valley, PA 19006-3524
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Premier Home Care Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Dec 8, 2005
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D1044547 | Premier Home Care Inc | Certificate of waiver | Aug 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
1800 Byberry Rd
Ste 1201
Huntingdon Valley, PA 19006
Phone (215) 969-2225
9880 Bustleton Ave
Ste 203
Philadelphia, PA 19115
Phone (215) 969-2225
9880 Bustleton Ave
Ste 309
Philadelphia, PA 19115
Phone (215) 676-6060
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Irene Brotsky | 5% Or Greater Direct Ownership Interest | Dec 29, 2016 | 100% |
| Corporate Officer | Jun 14, 2005 | ||
| Corporate Director | Jun 14, 2005 | ||
| W-2 Managing Employee | Jun 14, 2005 | ||
| Operational/Managerial Control | Jun 14, 2005 |
Practitioners & affiliated clinicians
Affiliated clinicians 20
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Southampton, PA
- NPI 1184695363
Home health agency
-
- Orthopaedic Surgery Physician
- Willow Grove, PA
- NPI 1386857282
Home health agency
-
- Family Medicine Physician
- Fort Washington, PA
- NPI 1922208180
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668988800000",
"number": "1417906264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 BYBERRY RD STE 1201",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190063524",
"telephone_number": "215-969-2225",
"fax_number": "215-969-2276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 BYBERRY RD STE 1201",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190063524",
"telephone_number": "215-969-2225",
"fax_number": "215-969-2276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER HOME CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-09",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A",
"authorized_official_last_name": "BROTSKY",
"authorized_official_first_name": "IRENE",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-969-2225",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "02620501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1015021530001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntingdon Valley, PA
- Genevieve Marie Powell, LMFT
- Maryanne M Powell, RBT
- Marguerite M. Powers, LCSW
- Pramukh Transport Services LLC (Saferide Transport Services)
- Premier Companion Care Services, LLC
- Premium Response LLC
- Prime Star a Transportation Inc (Prime Star Transportation Inc)
- Primestar Ambulance Inc
- Priority Care Ambulance, Inc
- Priority Care Provider, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.