Premier Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

04R581 Issued in CO

Legal business name

PREMIER HOME HEALTH CARE INC

Practice address

11152 Huron St Ste 208
Northglenn, CO 80234-4321

Phone

(720) 500-2625

Fax

(720) 253-0776

NPI assigned

Jan 21, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Lizbet Rubio, FNP-CNPI 1659963320

Title

Owner

Phone

(720) 618-1413

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Home health agency certification: CCN 067564

Legal name

PREMIER HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 29, 2017

Last certification

Nov 10, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 3, 2016 in CO

Enrollment address

11152 Huron St
Ste 208
Northglenn, CO 80234-4321

Listed as

Premier Home Health Care IncCCN 067564

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Sep 29, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lizbet Rubio, FNP-C

  • Family Nurse Practitioner
  • Aurora, CO
  • NPI 1659963320
  NPD Authorized official
• Amber Duncan, OTR/L

  • Occupational Therapist
  • Northglenn, CO
  • NPI 1881174555
  NPD

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

{
    "created_epoch": "1484956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718409600000",
    "number": "1710424312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11184 HURON ST STE 14",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802343344",
            "telephone_number": "720-500-2625",
            "fax_number": "720-253-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11152 HURON ST STE 208",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802344321",
            "telephone_number": "720-500-2625",
            "fax_number": "720-253-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-21",
        "last_updated": "2024-06-15",
        "certification_date": "2024-06-15",
        "status": "A",
        "authorized_official_last_name": "RUBIO",
        "authorized_official_first_name": "LIZBET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-618-1413",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "04R581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Portillo, RN
• Anne Leslie Powell, PH.D.
• Phillip Thomas Prager
• Elizabeth Pratt
• Premier Care Injury Services LLC
• Lindsay Preston
• Lindsay Pruitt, LPCC
• Sunaina Puri, DDS
• Cherrie Rochelle Quintanilla
• Deric J Rachjaibun, MD

• Home Health Agency in Northglenn, CO
• Providers in Northglenn, CO by specialty
• Home Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.