Active NPI
Premier Quality Home Care LLC
- Home Health Agency
- Hazelwood, MO
National Provider Identifier
1497411847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Rashad J Previllon, NP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Long Island City, NY
- NPI 1851054944
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.