Premier Healthcare Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PREMIER HEALTHCARE SERVICES, LLC

Practice address

1000 Burnett Ave
Suite 435
Concord, CA 94520-2000

Phone

(925) 356-3333

Fax

(888) 960-0957

NPI assigned

Jun 18, 2012

Organization subpart

No

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

Authorized official

Name

Vicki Whiteside

Title

Director, Regulatory Licensing

Phone

(770) 248-8740

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": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1619230349",
    "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": "770-248-8740",
            "fax_number": "626-204-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BURNETT AVE",
            "address_2": "SUITE 435",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202000",
            "telephone_number": "925-356-3333",
            "fax_number": "888-960-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "WHITESIDE",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "DIRECTOR, REGULATORY LICENSING",
        "authorized_official_telephone_number": "770-248-8740"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aveanna Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Preciado
• Maira A Preciado
• Nazaria Preciado
• Pedro Daniel Preciado
• Lalita Krisha Prema
• Premier Surgery Center
• Premise Health of California Medical PC
• Premise Health of California Medical PC
• Jessica Kathleen Prentice
• Deanne Elizabeth Presas

• Home Health Agency in Concord, CA
• Providers in Concord, 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 19, 2020; 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.