NPIMap

Organization Active NPI

Premier Health Care, LLC

  • Home Health Agency
  • Bartlett, TN
National Provider Identifier
1700167319
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
000000005426 Issued in TN
Legal business name
PREMIER HEALTH CARE, LLC
Practice address
2843 Stage Center Dr.
Suite 4
Bartlett, TN 38134-5426
Phone
(901) 388-2228
Fax
(901) 388-2219
NPI assigned
Sep 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Ms. Catondria Brown
Title
Ceo
Phone
(901) 388-2228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 000000005426 TN Primary

Addresses

Primary practice location

2843 Stage Center Dr.
Suite 4
Bartlett, TN 38134-5426

Mailing address

2843 Stage Center Dr.
Suite 4
Bartlett, TN 38134-5426
Phone (901) 388-2228

Other identifiers 1

IdentifierTypeStateIssuer
H445287MedicaidTN

National Provider Directory

National Provider Directory
Tax ID family
Premier Health Care 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.

Locations

2843 Stage Center Dr
Ste 4
Bartlett, TN 38134
Phone (901) 388-2228

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1700167319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2843 STAGE CENTER DR.",
            "address_2": "SUITE 4",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381345426",
            "telephone_number": "901-388-2228",
            "fax_number": "901-388-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2843 STAGE CENTER DR.",
            "address_2": "SUITE 4",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381345426",
            "telephone_number": "901-388-2228",
            "fax_number": "901-388-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CATONDRIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-388-2228",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "000000005426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445287",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.