NPIMap

Organization Active NPI

Premier Homecare, LLC

  • Homemaker
  • Granite Falls, NC
National Provider Identifier
1578696233
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
HC3386 Issued in NC
Legal business name
PREMIER HOMECARE, LLC
Practice address
4096 Hickory Blvd
Granite Falls, NC 28630-8372
Phone
(828) 396-9111
Fax
(828) 396-9112
NPI assigned
Mar 13, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Beth Hatton Jardon, R.N.
Title
Director
Phone
(828) 396-9111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X HC3386 NC Primary
Nurse's Aide 376K00000X HC3386 NC

Addresses

Primary practice location

4096 Hickory Blvd
Granite Falls, NC 28630-8372

Mailing address

4096 Hickory Blvd
Granite Falls, NC 28630-8372
Phone (828) 396-9111

Other identifiers 1

IdentifierTypeStateIssuer
3418171MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Premier Homecare LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1578696233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4096 HICKORY BLVD",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286308372",
            "telephone_number": "828-396-9111",
            "fax_number": "828-396-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4096 HICKORY BLVD",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286308372",
            "telephone_number": "828-396-9111",
            "fax_number": "828-396-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "JARDON",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "HATTON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "828-396-9111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NC",
            "license": "HC3386",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NC",
            "license": "HC3386",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418171",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite Falls, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.