Premier Services at Home LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PREMIER SERVICES AT HOME LLC

Practice address

121 Brick Kiln Rd Unit 214
Chelmsford, MA 01824-3259

Phone

(978) 710-1701

NPI assigned

Sep 21, 2022

Last updated

May 1, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Victor Mwaurah

Title

Ceo

Phone

(978) 654-1701

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629791934. Details of each certification follow.

• CCN 227765 Home health agency · Active · Details

Home health agency certification: CCN 227765

Legal name

PREMIER SERVICES AT HOME LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 7, 2023

Last certification

Aug 17, 2023

Organization structure

LLCProprietary

Incorporated

Sep 7, 2022 in MA

Enrollment address

121 Brick Kiln Rd
Unit 214
Chelmsford, MA 01824-3259

Listed as

Premier Services at Home LLCCCN 227765 · All quality measures

Ownership

-

Certified

Sep 7, 2023

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

Locations

All disclosed owners & managing parties 1

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": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1629791934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BRICK KILN RD UNIT 214",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243259",
            "telephone_number": "978-710-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BRICK KILN RD UNIT 214",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243259",
            "telephone_number": "978-710-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SERVICES AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "MWAURAH",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-654-1701",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Chelmsford, MA
• Providers in Chelmsford, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.