Organization Active NPI

Premier Quality Home Care LLC

  • Home Health Agency
  • Hazelwood, MO
National Provider Identifier
1497411847
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PREMIER QUALITY HOME CARE LLC
Practice address
320 Brookes Dr Ste 210
Hazelwood, MO 63042-2740
Phone
(917) 776-2187
NPI assigned
Nov 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Ms. Rashad J Previllon, NPNPI 1851054944
Title
Ceo
Phone
(314) 274-2776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

320 Brookes Dr Ste 210
Hazelwood, MO 63042-2740

Mailing address

320 Brookes Dr Ste 210
Hazelwood, MO 63042-2740
Phone (314) 274-2776

National Provider Directory

National Provider Directory

Locations

320 Brookes Dr
Ste 210
Hazelwood, MO 63042
Phone (917) 776-2187

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1497411847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BROOKES DR STE 210",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422740",
            "telephone_number": "314-274-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BROOKES DR STE 210",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422740",
            "telephone_number": "917-776-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER QUALITY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "PREVILLON",
        "authorized_official_first_name": "RASHAD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-274-2776",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazelwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.