Premier Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PREMIER HOME CARE, LLC

Doing business as

Premier Home Care, LLC

Practice address

7120 13TH Ave S
Richfield, MN 55423-3347

Phone

(612) 501-8333

NPI assigned

Jun 27, 2019

Last updated

Jun 27, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Idil A Jama

Title

Manager

Phone

(612) 501-8333

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Premier Home Care, LLC Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mariam Ali Barre

  • Home Health Aide
  • Richfield, MN
  • NPI 1083275218
  NPD (past)

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1710548953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 13TH AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554233347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 13TH AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554233347",
            "telephone_number": "612-501-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "IDIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-501-8333"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NONE",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Richfield",
            "affiliation": "N",
            "address_1": "7120 13th Ave S",
            "city": "Richfield",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554233347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Premier Home Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristi Pink, MPH, RD, LDN
• Travis Pioske
• Lindsey Beard Pohren, MD
• Amanda Ann Pojanowski, O.D.
• Prairie Home Health Care LLC
• Prestige Wellness Center Inc
• Procare Health Corp
• Darrick W Proehl, D.P.M.
• Progress Valley, Inc.
• Proresilience LLC

• Home Health Agency in Richfield, MN
• Providers in Richfield, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.