Organization Active NPI

Premium Nursing Services, Inc

  • Home Health Agency
  • Snellville, GA
National Provider Identifier
1962680397
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
067-R-0343 Issued in GA
Legal business name
PREMIUM NURSING SERVICES, INC
Practice address
4118 Wellington Hills LN
Snellville, GA 30039-4225
Phone
(404) 438-0813
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Authorized official

Name
Ms. Shirley Renee Catledge
Title
Branch Manager
Phone
(404) 438-0813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 067-R-0343 GA Primary

Addresses

Primary practice location

4118 Wellington Hills LN
Snellville, GA 30039-4225

Mailing address

4118 Wellington Hills LN
Snellville, GA 30039-4225
Phone (770) 573-7121

Other names 1

  • Premium Nursing Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1962680397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4118 WELLINGTON HILLS LN",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300394225",
            "telephone_number": "770-573-7121",
            "fax_number": "678-935-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4118 WELLINGTON HILLS LN",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300394225",
            "telephone_number": "404-438-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM NURSING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "CATLEDGE",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "BRANCH MANAGER",
        "authorized_official_telephone_number": "404-438-0813",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "067-R-0343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premium Nursing Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.