Premier Family Health Care Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PREMIER FAMILY HEALTH CARE SERVICES LLC

Practice address

1704 Hwy 158
Roanoke Rapids, NC 27870-8378

Phone

(252) 519-2273

Fax

(252) 535-2399

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Stacie Medlin Shearin, MSW

Title

President / Owner

Phone

(252) 519-2273

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Premier Family Health Care Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Premier Family Health Care Services LLC

  • Mental Health Counselor
  • Roanoke Rapids, NC
  • NPI 1124191119
  NPD tax ID

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1679608541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 HWY 158",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278708378",
            "telephone_number": "252-519-2273",
            "fax_number": "252-535-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 HWY 158",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278708378",
            "telephone_number": "252-519-2273",
            "fax_number": "252-535-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FAMILY HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "SHEARIN",
        "authorized_official_first_name": "STACIE",
        "authorized_official_middle_name": "MEDLIN",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "252-519-2273",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409692",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith Poche, LCSW
• Tina Louise Poindexter, FNP-C
• Marie Lee Pope, LCSW
• Anita Michelle Powell
• Premier Family Health Care Services LLC
• Premier Family Health Care Services, LLC
• Premiere Health and Wellness Medical Center PLLC
• Prime Care, Inc
• Primecare Medical Center Inc
• Pro Vision Optometric Center PA

• Community/Behavioral Health Agency in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.