Active NPI
Premier Home Companion Services, LLC
- In Home Supportive Care Agency
- Tallahassee, FL
National Provider Identifier
1700247137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 234334
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 234334 | Other | FL | AGENCY FOR HEALTH CARE ADMINSTRATION |
National Provider Directory
National Provider DirectoryLocations
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": []
}
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- Premium Medical Associates Healthcare LLC
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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.