Organization Active NPI

Premier Management Holdings, LLC

Doing business as Glory Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Lynbrook, NY
National Provider Identifier
1972239044
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PREMIER MANAGEMENT HOLDINGS, LLC
Doing business as
Glory Medical Supply
Practice address
146 Hendrickson Ave
Lynbrook, NY 11563-1038
Phone
(347) 256-3910
NPI assigned
Jul 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Ms. Bianca Mayard Francois
Title
President
Phone
(347) 256-3910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

146 Hendrickson Ave
Lynbrook, NY 11563-1038

Mailing address

57 Lincoln Ave
Deer Park, NY 11729-7015
Phone (347) 256-3910

Other names 1

  • Glory Medical Supply 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": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1972239044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 LINCOLN AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117297015",
            "telephone_number": "347-256-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 HENDRICKSON AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631038",
            "telephone_number": "347-256-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MANAGEMENT HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "MAYARD FRANCOIS",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-256-3910",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glory Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.