Premier Home Care, Corp.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PREMIER HOME CARE, CORP.

Practice address

610 Taylor Station Rd Ste a
Gahanna, OH 43230-3587

Phone

(614) 863-8950

Fax

(614) 863-8980

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Vilayphone Thawnghmung

Title

President

Phone

(614) 322-2242

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 368215

Legal name

PREMIER HOME CARE, CORP.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 28, 2008

Last certification

May 28, 2008

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Feb 1, 2007 in OH

Enrollment address

610 Taylor Station Rd
Ste a
Gahanna, OH 43230-6293

Listed as

Premier Home Care CorpCCN 368215 · All quality measures

Ownership

Proprietary

Certified

May 28, 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 4

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

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1568580918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8444 WHISPER TRCE",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430157118",
            "telephone_number": "614-327-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 TAYLOR STATION RD STE A",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303587",
            "telephone_number": "614-863-8950",
            "fax_number": "614-863-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOME CARE, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "THAWNGHMUNG",
        "authorized_official_first_name": "VILAYPHONE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-322-2242"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2827892",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.