1St Premier Home Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

3195 Issued in NM

Legal business name

1ST PREMIER HOME CARE, INC.

Practice address

4411 McLeod Rd NE
Suite G
Albuquerque, NM 87109-2227

Phone

(505) 271-2120

Fax

(505) 271-5316

NPI assigned

Jan 31, 2007

Last updated

May 12, 2016By 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. David A Kaminski, MHA

Title

President and Ceo

Phone

(505) 271-2120

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1639216203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51267",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871811267",
            "telephone_number": "505-271-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 MCLEOD RD NE",
            "address_2": "SUITE G",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092227",
            "telephone_number": "505-271-2120",
            "fax_number": "505-271-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST PREMIER HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "KAMINSKI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "505-271-2120",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "3195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B4399",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D4068",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.