Premier at Home Hospice & Palliative Care L.L.C

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PREMIER AT HOME HOSPICE & PALLIATIVE CARE L.L.C

Practice address

23135 21 Mile Rd
Macomb, MI 48042-5182

Phone

(586) 925-0115

NPI assigned

May 29, 2023

Organization subpart

No

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

Authorized official

Name

Jerell McKitchen, RN

Title

Owner/Director of Nursing

Phone

(586) 925-0115

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Hospice certification: CCN 231718

Legal name

PREMIER AT HOME HOSPICE & PALLIATIVE CARE L.L.C

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 12, 2024

Last certification

Jan 5, 2024

Organization structure

LLCProprietary

Incorporated

May 24, 2023 in MI

Enrollment address

18000 W 9 Mile Rd
Ste 340
Southfield, MI 48075-4009

Listed as

Premier at Home Hospice & Palliative Care, LLCCCN 231718 · All quality measures

Certified

Jan 12, 2024

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 2

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Anthony Dequann Spearman, M.D.

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1639453228

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Anthony Dequann Spearman, M.D.

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1639453228

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685318400000",
    "number": "1629761531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23135 21 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480425182",
            "telephone_number": "586-925-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23135 21 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480425182",
            "telephone_number": "586-925-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER AT HOME HOSPICE & PALLIATIVE CARE L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-29",
        "status": "A",
        "authorized_official_last_name": "MCKITCHEN",
        "authorized_official_first_name": "JERELL",
        "authorized_official_title_or_position": "OWNER/DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "586-925-0115",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Potter
• Richard Henry Poupard, DDS
• Jennifer Prantera, LPC
• Cecilly A Pratt, MD
• Precision Surgery Center, LLC
• Premier Foot & Ankle PLLC
• Premier Senior Home Care L.L.C (Premier Senior Home Care)
• Premier Solutions, Inc. (Zounds Hearing)
• Premier Therapy Solutions
• Pro Home Care Services LLC

• Community Based Hospice Care Agency in Macomb, MI
• Providers in Macomb, MI by specialty
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; 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.