Premier Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PREMIER HOME HEALTH INC

Practice address

6843 W Charleston Blvd
Ste a
Las Vegas, NV 89117-1646

Phone

(702) 804-0600

Fax

(704) 804-0900

NPI assigned

Sep 19, 2007

Last updated

Feb 6, 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

Mr. Alfonso Guillermo Alino Jr.

Title

President

Phone

(702) 844-0316

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871789230. Details of each certification follow.

• CCN 297166 Home health agency · Active · Details

Home health agency certification: CCN 297166

Legal name

PREMIER HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 22, 2009

Last certification

Oct 4, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

6843 W Charleston Blvd
Ste a
Las Vegas, NV 89117-1646

Listed as

Premier Home Health, IncCCN 297166 · All quality measures

Overall star rating

1 of 5

Ownership

Proprietary

Certified

Apr 22, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, 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 3

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

Affiliated clinicians 2

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

• Ejaz U Kamboj, MD

  • Cardiovascular Disease Physician
  • Las Vegas, NV
  • NPI 1396833810

  Home health agency

  Care Compare affiliation
• Julie Wu, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1588602957

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1871789230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6843 W CHARLESTON BLVD",
            "address_2": "STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171646",
            "telephone_number": "702-804-0600",
            "fax_number": "704-804-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6843 W CHARLESTON BLVD",
            "address_2": "STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171646",
            "telephone_number": "702-804-0600",
            "fax_number": "704-804-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "ALINO",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_middle_name": "GUILLERMO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-844-0316",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "4859HHA-6",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Home Care Services
• Premier Home Care Services
• Premier Home Care Services
• Premier Home Care Services
• Premier Home Care Services
• Premier Horizon LLC
• Premier House Calls, LLC (Patients Choice Primary Care)
• Premier Medical Group LLC (Premier Urgent Care)
• Premier Mobility LLC
• Premier Physical Therapy and Pulmonary Rehab LLC

• Home Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Home Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.