Organization Active NPI

Premier Personal Care Inc.

  • Home Health Agency
  • Fairless Hills, PA
National Provider Identifier
1669931135
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PREMIER PERSONAL CARE INC.
Practice address
333 N. Oxford Valley Road
Suite 103
Fairless Hills, PA 19030
Phone
(215) 943-0201
Fax
(215) 547-1054
NPI assigned
Mar 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Authorized official

Name
William Francis Bonner, MD
Title
Owner
Phone
(215) 943-0201

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X
Respite Care 385H00000X

Addresses

Primary practice location

333 N. Oxford Valley Road
Suite 103
Fairless Hills, PA 19030

Mailing address

333 N. Oxford Valley Road
Suite 103
Fairless Hills, PA 19030
Phone (215) 943-0201

Other identifiers 1

IdentifierTypeStateIssuer
1027773650003MedicaidPA

National Provider Directory

National Provider Directory

Locations

333 N Oxford Valley Rd
Ste 103
Fairless Hls, PA 19030
Phone (215) 943-0201

NPI Registry JSON

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1669931135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N. OXFORD VALLEY ROAD",
            "address_2": "SUITE 103",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "19030",
            "telephone_number": "215-943-0201",
            "fax_number": "215-547-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N. OXFORD VALLEY ROAD",
            "address_2": "SUITE 103",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "19030",
            "telephone_number": "215-943-0201",
            "fax_number": "215-547-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PERSONAL CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-943-0201",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027773650003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairless Hills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.