Premier Home Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

LC001446772 Issued in MO

Legal business name

PREMIER HOME CARE INC

Practice address

1515 N Warson Rd
Suit 249
Olivette, MO 63132-1111

Phone

(314) 322-8063

Fax

(314) 423-1243

NPI assigned

Jun 23, 2016

Organization subpart

No

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

Authorized official

Name

Sergey Fridman

Title

Director

Phone

(314) 322-8063

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1902257686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10295 CHAUCER AVE APT 4",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631142325",
            "telephone_number": "314-322-8063",
            "fax_number": "314-423-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N WARSON RD",
            "address_2": "SUIT 249",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631321111",
            "telephone_number": "314-322-8063",
            "fax_number": "314-423-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "FRIDMAN",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-322-8063"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "LC001446772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Olivette, MO
• Providers in Olivette, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.