Organization Active NPI

Premier Health Services Inc.

  • Home Health Agency
  • Washington, DC
National Provider Identifier
1780622142
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
-66001743 Issued in DC
Legal business name
PREMIER HEALTH SERVICES INC.
Practice address
7600 Georgia Ave NW
#323
Washington, DC 20012-1616
Phone
(202) 723-3060
Fax
(202) 723-3065
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ijeoma U Arungwa
Title
President
Phone
(202) 723-3060

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X -66001743 DC Primary
Home Infusion Agency 251F00000X
Community/Behavioral Health Agency 251S00000X
Respite Care 385H00000X

Addresses

Primary practice location

7600 Georgia Ave NW
#323
Washington, DC 20012-1616

Mailing address

7600 Georgia Ave NW
#323
Washington, DC 20012-1616
Phone (202) 723-3060

Other identifiers 1

IdentifierTypeStateIssuer
0347396MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060728000336 DC Part A Provider - Home Health Agency 1850321944 Practice locations: Washington, DC

Home health agency certification: CCN 097063

Legal name
PREMIER HEALTH SERVICES INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 5, 2007
Last certification
Aug 2, 2018
Ownership / control type
Non-Profit
Organization structure
CorporationProprietary
Incorporated
Mar 22, 2002 in MD
Enrollment address
7600 Georgia Ave NW
Ste 323
Washington, DC 20012-1616

Care Compare: Home health agency

Medicare Care Compare
Listed as
Premier Healthcare Services, IncCCN 097063
Ownership
Non-Profit
Certified
Jan 5, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

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.

NameRoleSinceShare
Chinenye Innocent Arungwa Individual 5% Or Greater Direct Ownership Interest Oct 30, 2014 50%
Corporate Officer Jan 1, 2013
Corporate DirectorBoard Director Jan 1, 2013
Obioma I Arungwa Individual 5% Or Greater Direct Ownership Interest Oct 30, 2014 16.66%
Tawanda Makubika Individual Corporate OfficerSecretary Jan 1, 2013
Operational/Managerial ControlAssistant Administrator Jan 1, 2013
Ijeoma Arungwa Individual 5% Or Greater Direct Ownership Interest Oct 30, 2014 16.66%
Corporate OfficerPresident Jan 1, 2013
Corporate DirectorBoard Director Jan 1, 2013
Chinenye Arungwa Individual 5% Or Greater Direct Ownership Interest Oct 30, 2014 16.66%

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780622142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 GEORGIA AVE NW",
            "address_2": "#323",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121616",
            "telephone_number": "202-723-3060",
            "fax_number": "202-723-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 GEORGIA AVE NW",
            "address_2": "#323",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121616",
            "telephone_number": "202-723-3060",
            "fax_number": "202-723-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ARUNGWA",
        "authorized_official_first_name": "IJEOMA",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-723-3060"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "DC",
            "license": "-66001743",
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0347396",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.