Premier Healthcare Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550001589 Issued in CA

Legal business name

PREMIER HEALTHCARE SERVICES, LLC

Practice address

338 Via Vera Cruz
Suite 210
San Marcos, CA 92078-2645

Phone

(760) 744-0200

Fax

(760) 744-0215

NPI assigned

Jul 9, 2010

Organization subpart

No

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

Authorized official

Name

Shannon Drake

Title

Chief Legal Officer

Phone

(470) 464-8000

Specialties & licenses 1

Addresses

Other names 1

• Aveanna Healthcare Doing business as

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1598077364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INTERSTATE NORTH PKWY SE STE 1600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395047",
            "telephone_number": "470-464-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 VIA VERA CRUZ",
            "address_2": "SUITE 210",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782645",
            "telephone_number": "760-744-0200",
            "fax_number": "760-744-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "470-464-8000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550001589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aveanna Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Tahereh Powell
• Dushawn A Powell
• Madison N Pradels, ATC
• Brittany Pratt, LMT
• Precision Physical Therapy
• Present Moments Recovery
• Tory Prestera, MD.PHD
• Amy M Price, MFT
• Primary Care Associates Medical Group Inc
• Prime Interpreting, LLC.

• Home Health Agency in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.