Premier Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550000295 Issued in CA

Legal business name

PREMIER HOME HEALTH CARE, INC.

Doing business as

Homebound Health Care Services

Practice address

9010 Corbin Ave Ste 18
Northridge, CA 91324-3377

Phone

(818) 477-2712

Fax

(818) 477-2713

NPI assigned

Jul 2, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Teresita Langston, MD LICENSED IN THE P

Title

President/Ceo/ Administrator

Phone

(818) 489-0010

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Homebound Health Care Services Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 058485

Legal name

PREMIER HOME HEALTH CARE INC

Doing business as

HOMEBOUND HEALTH CARE SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 26, 2008

Last certification

Jul 21, 2017

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Dec 18, 2003 in CA

Enrollment address

9010 Corbin Ave
Ste 18
Northridge, CA 91324-3377

Listed as

Homebound Health Care ServicesCCN 058485 · All quality measures

Ownership

Proprietary

Certified

Jun 26, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Dwight E Hiscox, M.D.

  • Anesthesiology Physician
  • Glendale, CA
  • NPI 1053458950

  Corporate Director, Operational/Managerial Control

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dwight E Hiscox, M.D.

  • Anesthesiology Physician
  • Glendale, CA
  • NPI 1053458950
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Muhammad R Nasir, M.D.

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1427002526

  Home health agency

  Care Compare affiliation
• Ferdinant Saran, MD

  • Specialist
  • Glendale, CA
  • NPI 1245280007

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1487851432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 CORBIN AVE STE 18",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243377",
            "telephone_number": "818-477-2712",
            "fax_number": "818-477-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 CORBIN AVE STE 18",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243377",
            "telephone_number": "818-477-2712",
            "fax_number": "818-477-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "LANGSTON",
        "authorized_official_first_name": "TERESITA",
        "authorized_official_title_or_position": "PRESIDENT/CEO/ ADMINISTRATOR",
        "authorized_official_telephone_number": "818-489-0010",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD LICENSED IN THE P"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487851432",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homebound Health Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Homebound Health Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Northridge, CA
• Providers in Northridge, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.

Verify at the official NPI Registry.