NPIMap

Organization Active NPI

Premier Healthcare Services, LLC

  • Home Health Agency
  • San Mateo, CA
National Provider Identifier
1801205075
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PREMIER HEALTHCARE SERVICES, LLC
Practice address
3 Waters Park Dr
Suite 225
San Mateo, CA 94403-1160
Phone
(650) 242-4332
Fax
(855) 339-0135
NPI assigned
Aug 12, 2014
Last updated
Aug 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Authorized official

Name
Joseph Mallinger
Title
Owner
Phone
(626) 204-7930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

3 Waters Park Dr
Suite 225
San Mateo, CA 94403-1160

Mailing address

790 E Colorado Blvd
Suite 850
Pasadena, CA 91101-2113
Phone (626) 204-7930

National Provider Directory

National Provider Directory
Tax ID family
Premier Healthcare Services24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Locations

790 E Colorado Blvd
Ste 850
Pasadena, CA 91101
Phone (626) 204-7930

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1801205075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 E COLORADO BLVD",
            "address_2": "SUITE 850",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012113",
            "telephone_number": "626-204-7930",
            "fax_number": "626-204-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WATERS PARK DR",
            "address_2": "SUITE 225",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031160",
            "telephone_number": "650-242-4332",
            "fax_number": "855-339-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "MALLINGER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-204-7930"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.