Premium Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC3356 Issued in NC

Legal business name

PREMIUM HOME CARE LLC

Practice address

1050 Worth St
Mount Airy, NC 27030-4453

Phone

(336) 786-7798

Fax

(336) 786-8837

NPI assigned

Mar 15, 2007

Last updated

Aug 22, 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

Ms. Teresa S. Harrison

Title

Director

Phone

(336) 786-7798

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Premium Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Premium Home Care LLC

  • Home Health Agency
  • Dobson, NC
  • NPI 1366584849
  NPD tax ID

Locations

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811021611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 WORTH ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270304453",
            "telephone_number": "336-786-7798",
            "fax_number": "336-786-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 WORTH ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270304453",
            "telephone_number": "336-786-7798",
            "fax_number": "336-786-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-786-7798",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418125",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Penny Mooney Pope, FNP-BC
• Paul Poretta
• Ann Bartz Potter, FNP
• Pqa Healthcare, Inc
• Pqa Healthcare,Inc
• Richard J. Preske, M.D.
• Prohealth Pharmacy Inc (ProHealth Pharmacy)
• Prosperitas, LLC
• Maria Elizabeth Pruitt, PT
• Amy Leigh Puckett-Lawson, FNP-C

• Home Health Agency in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Home Health 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.