Premier Home Care,LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

757695 Issued in VA

Legal business name

PREMIER HOME CARE,LLC

Practice address

5640 Powers LN
Centreville, VA 20120-1981

Phone

(202) 415-3215

NPI assigned

Jan 31, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Raymonde Fanny Brooks

Title

Owner

Phone

(202) 415-3215

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1760660856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 POWERS LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201981",
            "telephone_number": "202-415-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 POWERS LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201981",
            "telephone_number": "202-415-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOME CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "RAYMONDE",
        "authorized_official_middle_name": "FANNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-415-3215",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "757695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.