Premier Home Care Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PREMIER HOME CARE AGENCY

Practice address

6280 Graceland Circle
Morrow, GA 30260

Phone

(678) 362-0631

Fax

(678) 829-3292

NPI assigned

Sep 5, 2013

Organization subpart

No

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

Authorized official

Name

Debra Hollingshed

Title

Ceo

Phone

(678) 362-0631

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1699100925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 GRACELAND CIRCLE",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "30260",
            "telephone_number": "678-362-0631",
            "fax_number": "678-829-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 GRACELAND CIRCLE",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "30260",
            "telephone_number": "678-362-0631",
            "fax_number": "678-829-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSHED",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-362-0631"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.