PREMIERCARE @HOME LLC (NPI# 1083157440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083157440 |
| Entity Type | Organization |
| Organization Name | PREMIERCARE @HOME LLC |
| Other Organization Name | PREMIERCARE ATHOME LLC |
| Practice Address |
302 N Westberry St Sylvester GA 31791-2125 |
| Practice Telephone | 2292882638 |
| Mailing Telephone | 2292882638 |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2016-12-02 |
| Authorized Official Name | MRS. GWENDOLYN MCDANIEL (OWNERD) |
| Authorized Official Telephone | 2292882638 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 159-R-1694 | GA | Agencies |
| Other Name | Type Code |
|---|---|
| PremierCare atHome LLC | Other Name - Individual/Organization |
| Street Address |
302 N WESTBERRY ST |
| City | SYLVESTER |
| State | GA |
| Zip Code | 31791-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114497625 | Premiercare Transportation LLC | Non-emergency Medical Transport (VAN) | 302 N Westberry St, Sylvester, GA 31791 | 2018-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669992657 | Nicole Sloan | Physician Assistant | 240 Old State Route 50, Sylvester, GA 31791 | 2017-06-21 |
| 1609237262 | Tiffany Hett | Case Manager/Care Coordinator | 502 E Oak St, Sylvester, GA 31791 | 2016-03-10 |
| 1003181215 | Dr. Hugh Hudson Dds | Dentist | 108 West Pope Street, Sylvester, GA 31791 | 2012-03-21 |
| 1699904136 | Phoebe Worth Medical Center | Respite Care | 1014 West Franklin St, Sylvester, GA 31791 | 2009-07-06 |
| 1942350657 | Reid Chiropractic Office PC | Chiropractor | 304 North Westberry Street, Sylvester, GA 31791 | 2007-01-12 |
| 1326071705 | Dialysis Clinic, Inc. | Clinic/Center | 102 Pineview Drive, Sylvester, GA 31791 | 2006-07-08 |
| 1851702328 | Benjamin Hudson | Pharmacist | 807 S Isabella St, Sylvester, GA 31791 | 2014-05-18 |
| 1851484026 | Natu M Patel | Family Medicine | 813 S Isabela Street, Suite A, Sylvester, GA 31791-0650 | 2006-10-02 |
| 1972043529 | Monica Oakley | Dietitian, Registered | 810 N Isabella St, Sylvester, GA 31791-1314 | 2017-03-01 |
| 1588751101 | J. H. Harvey, Co., LLC | Durable Medical Equipment & Medical Supplies | 502 Ashburn Hwy, Sylvester, GA 31791-1400 | 2006-10-06 |
| Find all providers in zip 31791 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
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| 1356941082 | Just Peachy Home Care LLC | Home Health | 550 Fairburn Rd Sw Ste B1, Atlanta, GA 30331-2016 | 2020-10-30 |
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| 1811595283 | Rotex Healthcare Services LLC | Home Health | 1847 Canoe Rdg Nw, Kennesaw, GA 30152-6222 | 2020-10-16 |
| 1306444120 | Circle of Life Caregiver Services | Home Health | 1803 Wynnton Rd, Columbus, GA 31906-2929 | 2020-10-14 |
| 1740888437 | Arose Home Care Services,llc | Home Health | 3374 Stone Path Way, Powder Springs, GA 30127-5329 | 2020-10-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.