Organization Active NPI

Premier Home Companion Services, LLC

  • In Home Supportive Care Agency
  • Tallahassee, FL
National Provider Identifier
1700247137
Registry record updated Mar 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
234334 Issued in FL
Legal business name
PREMIER HOME COMPANION SERVICES, LLC
Practice address
475 Appleyard Dr
Apt 112
Tallahassee, FL 32304-2808
Phone
(850) 508-3397
NPI assigned
Mar 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2016

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

Authorized official

Name
Mr. Curtis Eugene Bridges II
Title
Administrator
Phone
(850) 508-3397

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 234334 FL Primary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 234334 FL

Addresses

Primary practice location

475 Appleyard Dr
Apt 112
Tallahassee, FL 32304-2808

Mailing address

PO Box 20681
Tallahassee, FL 32316-0681
Phone (850) 508-3397

Other identifiers 1

IdentifierTypeStateIssuer
234334OtherFLAGENCY FOR HEALTH CARE ADMINSTRATION

National Provider Directory

National Provider Directory

Locations

475 Appleyard Dr
Apt 112
Tallahassee, FL 32304
Phone (850) 508-3397

NPI Registry JSON

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

{
    "created_epoch": "1457827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457827200000",
    "number": "1700247137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20681",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323160681",
            "telephone_number": "850-508-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 APPLEYARD DR",
            "address_2": "APT 112",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323042808",
            "telephone_number": "850-508-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOME COMPANION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-13",
        "last_updated": "2016-03-13",
        "status": "A",
        "authorized_official_last_name": "BRIDGES",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-508-3397",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "234334",
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "FL",
            "license": "234334",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY FOR HEALTH CARE ADMINSTRATION",
            "identifier": "234334",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.