Premier Homecare. LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

HC3386 Issued in NC

Legal business name

PREMIER HOMECARE. LLC

Practice address

4096 Hickory Blvd
Granite Falls, NC 28630-8372

Phone

(828) 396-9111

Fax

(828) 396-9112

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Beth Hatton Jardon, R.N.

Title

Director

Phone

(828) 396-9111

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Premier Homecare LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Premier Homecare, LLC

  • Homemaker
  • Granite Falls, NC
  • NPI 1366575011
  NPD tax ID
• Premier Homecare, LLC

  • Homemaker
  • Granite Falls, NC
  • NPI 1578696233
  NPD tax ID

Locations

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730212499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4096 HICKORY BLVD",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286308372",
            "telephone_number": "828-396-9111",
            "fax_number": "828-396-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4096 HICKORY BLVD",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286308372",
            "telephone_number": "828-396-9111",
            "fax_number": "828-396-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOMECARE. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JARDON",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "HATTON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "828-396-9111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "HC3386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100588",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mandy L Parrish, PTA
• Brittany Megan Petersen
• Emily Pitts, LCSW
• Premier Homecare, LLC
• Premier Homecare, LLC
• Jill Johnson Price, DO
• Prime Surgical Suites, LLC
• Donna Duncan Prince
• Angela Moore Quigley, LCMHC
• Maria Cazares Ramon, LCSWA

• Nursing Care Agency in Granite Falls, NC
• Providers in Granite Falls, NC by specialty
• Nursing Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.