Active NPI
Premiere Home Health Care & Staffing LLC
- Home Health Agency
- Cleveland HTS, OH
National Provider Identifier
1962098533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PREMIERE HOME HEALTH CARE & STAFFING LLC
- Practice address
- 2490 Lee Blvd Ste 200-11
Cleveland HTS, OH 44118-1268 - Phone
- (216) 278-6258
- NPI assigned
- Dec 17, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shahidah Mujahid
- Title
- Cei
- Phone
- (216) 278-6258
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
2490 Lee Blvd Ste 200-11
Cleveland HTS, OH 44118-1268
Mailing address
794 Ruth Ave
Akron, OH 44307-1834
Phone (216) 278-6258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2725457 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
2490 Lee Blvd
Ste 200-11
Cleveland Hts, OH 44118
Phone (216) 278-6258
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Homemaker
- Canton, OH
- NPI 1528747821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608163200000",
"number": "1962098533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "794 RUTH AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443071834",
"telephone_number": "216-278-6258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2490 LEE BLVD STE 200-11",
"city": "CLEVELAND HTS",
"state": "OH",
"postal_code": "441181268",
"telephone_number": "216-278-6258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIERE HOME HEALTH CARE & STAFFING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-17",
"last_updated": "2020-12-17",
"certification_date": "2020-12-17",
"status": "A",
"authorized_official_last_name": "MUJAHID",
"authorized_official_first_name": "SHAHIDAH",
"authorized_official_title_or_position": "CEI",
"authorized_official_telephone_number": "216-278-6258",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2725457",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.