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PREMIERCARE @HOME LLC NPI 1083157440


NPI Information

NPI: 1083157440
Provider Name: PREMIERCARE @HOME LLC

Other Name: PREMIERCARE ATHOME LLC

Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
302 N WESTBERRY ST
SYLVESTER, GA
ZIP 31791
Phone: (229) 288-2638
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PREMIERCARE @HOME LLC is a home health in Sylvester, GA. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. PREMIERCARE @HOME LLC NPI is 1083157440. The provider is registered as an organization entity type.
The provider Other Name Is Premiercare Athome Llc.

The provider's business location address is:

302 N WESTBERRY ST
SYLVESTER, GA
ZIP 31791-125
Phone: (229) 288-2638

The provider's authorized official is Gwendolyn Mcdaniel .
The authorized official title is Ownerd and has the following contact phone number (229) 288-2638.

The enumeration date for this NPI number is 12/2/2016 and was last updated on 12/2/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome Health159-R-1694GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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