Organization Active NPI

Premier Care Health Care LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1962705483
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PREMIER CARE HEALTH CARE LLC
Practice address
134 Northwoods Blvd
Suite a-2
Columbus, OH 43235
Phone
(614) 431-0599
Fax
(614) 431-0596
NPI assigned
Dec 7, 2010
Last updated
Dec 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Mrs. Shelly Ruth Matt, RN
Title
Ceo
Phone
(614) 431-0599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X OH Primary

Addresses

Primary practice location

134 Northwoods Blvd
Suite a-2
Columbus, OH 43235

Mailing address

134 Northwoods Blvd
Suite a-2
Columbus, OH 43235
Phone (614) 431-0599

National Provider Directory

National Provider Directory

Locations

134 Northwoods Blvd
Ste A2
Columbus, OH 43235
Phone (614) 431-0599

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1962705483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 NORTHWOODS BLVD",
            "address_2": "SUITE A-2",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43235",
            "telephone_number": "614-431-0599",
            "fax_number": "614-431-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 NORTHWOODS BLVD",
            "address_2": "SUITE A-2",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43235",
            "telephone_number": "614-431-0599",
            "fax_number": "614-431-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CARE HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "MATT",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-431-0599",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.