Premier Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PREMIER HOME HEALTH CARE, INC.

Practice address

1016 E. Shawntel Smith Boulevard
Suite 2
Muldrow, OK 74948

Phone

(918) 427-1900

Fax

(877) 700-6210

NPI assigned

Jul 18, 2006

Last updated

May 19, 2020By 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

Mary Renee Rogers, REGISTERED NURSE

Title

Administrator/ Owner

Phone

(918) 427-1900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780603134. Details of each certification follow.

• CCN 377706 Home health agency · Active · Details

Home health agency certification: CCN 377706

Legal name

PREMIER HOME HEALTH CARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 28, 2007

Last certification

Nov 8, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 12, 2006 in OK

Enrollment address

1016 E Shawntel Smith Blvd
Muldrow, OK 74948-4836
HHA Branch

Listed as

Premier Home Health Care, IncCCN 377706 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Feb 28, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 5

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

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.

• Jimmy Dale Rogers III, PTA

  • Physical Therapy Assistant
  • Sallisaw, OK
  • NPI 1821931999
  NPD

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Chelsea Agent Real, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Sallisaw, OK
  • NPI 1497280630

  Home health agency

  Care Compare affiliation
• Cary Patrick Sullivan, D.O.

  • Family Medicine Physician
  • Vian, OK
  • NPI 1497701130

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1780603134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 E. SHAWNTEL SMITH BOULEVARD",
            "city": "MULDROW",
            "state": "OK",
            "postal_code": "74948",
            "telephone_number": "918-427-1900",
            "fax_number": "918-427-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 E. SHAWNTEL SMITH BOULEVARD",
            "address_2": "SUITE 2",
            "city": "MULDROW",
            "state": "OK",
            "postal_code": "74948",
            "telephone_number": "918-427-1900",
            "fax_number": "877-700-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "ADMINISTRATOR/ OWNER",
        "authorized_official_telephone_number": "918-427-1900",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Murray
• Robyn Oneal
• Tiffany Gayle Philpot, LHCA, CCM,
• Haley Dawn Pierce
• Robby Plymale, MHPP
• Crystal Lea Pugh
• Kally Lane Rains, CCC-SLP
• Ramsey Speech Pathology, LLC
• Renegade Counseling, PLLC
• S and H Family Pharmacy Services Incorporated (S & H Family Pharmacy Inc.)

• Home Health Agency in Muldrow, OK
• Providers in Muldrow, OK by specialty
• Home Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.