Organization Active NPI

Premier Home Care, LLC.

  • In Home Supportive Care Agency
  • Pocahontas, AR
National Provider Identifier
1508420662
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PREMIER HOME CARE, LLC.
Practice address
807 Mill Rd
Pocahontas, AR 72455-4959
Phone
(870) 897-7901
Fax
(833) 872-6565
NPI assigned
Apr 24, 2019
Last updated
Apr 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Authorized official

Name
Melinda Endicott, RN
Title
Owner/Administrator
Phone
(870) 897-7901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

807 Mill Rd
Pocahontas, AR 72455-4959

Mailing address

807 Mill Rd
Pocahontas, AR 72455-4959
Phone (870) 897-7901

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1508420662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 MILL RD",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724554959",
            "telephone_number": "870-897-7901",
            "fax_number": "833-872-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 MILL RD",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724554959",
            "telephone_number": "870-897-7901",
            "fax_number": "833-872-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOME CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "ENDICOTT",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "870-897-7901",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocahontas, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.