PREMIER HEALTHCARE SERVICES, LLC (NPI# 1104058122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104058122 |
| Entity Type | Organization |
| Organization Name | PREMIER HEALTHCARE SERVICES, LLC |
| Other Organization Name | AVEANNA HEALTHCARE |
| Practice Address |
1730 W Cameron Ave Suite 120 West Covina CA 91790-2722 |
| Mailing Address |
400 Interstate North Pkwy Se Ste 1600 Atlanta GA 30339-5047 |
| Practice Telephone | 6263373444 |
| Practice Fax Number | 6263892168 |
| Mailing Telephone | 7702488740 |
| Mailing Fax Number | 6262047950 |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2020-03-16 |
| Authorized Official Name | VICKI WHITESIDE (DIRECTOR, REGULATORY LICENSING) |
| Authorized Official Telephone | 7702488740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Aveanna Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336788637 | Premier Healthcare Services, LLC | Hospice Care, Community Based | 907 Irvington Pl, Chester, PA 19013-5215 | 2020-01-03 |
| 1437555984 | Premier Healthcare Services, LLC | Home Health | 5250 N Palm Ave, Suite 227, Fresno, CA 93704-2218 | 2014-11-11 |
| 1972922037 | Premier Healthcare Services, LLC | Home Health | 14001 E Iliff Ave Ste 206, Aurora, CO 80014-1425 | 2014-04-15 |
| 1295159366 | Premier Healthcare Services, LLC | Home Health | 12401 Hesperia Rd Ste 8, Victorville, CA 92395-5844 | 2014-02-10 |
| 1407280563 | Premier Healthcare Services, LLC | Home Health | 333 Palmer Dr, Suite 210, Bakersfield, CA 93309-2695 | 2013-08-26 |
| 1194162107 | Premier Healthcare Services, LLC | Home Health | 10100 Pioneer Blvd, Suite 125, Santa Fe Springs, CA 90670-3736 | 2013-05-30 |
| 1437400165 | Premier Healthcare Services, LLC | Home Health | 6133 Bristol Parkway, Suite 278, Culver City, CA 90230-6658 | 2012-09-20 |
| 1598077364 | Premier Healthcare Services, LLC | Home Health | 338 Via Vera Cruz, Suite 210, San Marcos, CA 92078-2645 | 2010-07-09 |
| 1396064093 | Premier Healthcare Services, LLC | Home Health | 1000 Atlantic Ave Ste 112, Alameda, CA 94501 | 2010-05-20 |
| 1235458936 | Premier Healthcare Services, LLC | Home Health | 23046 Avenida De La Carlota Ste 210, Laguna Hills, CA 92653 | 2010-05-20 |
| Street Address |
1730 W CAMERON AVE SUITE 120 |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790-2722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776958 | Admirable Home Health Services | Home Health | 1535 W Merced Ave Ste 304, West Covina, CA 91790-3404 | 2020-10-08 |
| 1407471303 | Horizon Care LLC | Home Health | 100 N Barranca St Ste 715, West Covina, CA 91791-1637 | 2020-06-16 |
| 1134762883 | Care Circle, LLC | Home Health | 640 S Sunset Ave Ste 208, West Covina, CA 91790-2808 | 2019-10-25 |
| 1437504990 | Descanso Home Health Services, Inc. | Home Health | 2155 E Garvey Ave N, Suite B17, West Covina, CA 91791-1544 | 2016-05-03 |
| 1487045597 | Bff, LLC | Home Health | 322 N Leland Ave, West Covina, CA 91790-1929 | 2015-02-11 |
| 1003180019 | A-quest Health Care, Inc. | Home Health | 223 S Bandy Avenue, C, West Covina, CA 91790 | 2012-03-08 |
| 1548408636 | Alsa Home Health Care, Inc. | Home Health | 640 S Sunset Ave Ste 109, West Covina, CA 91790-2808 | 2009-01-27 |
| 1447438734 | Alliant Health Systems Inc | Home Health | 2149 E Garvey Ave N, Suite A-4, West Covina, CA 91791-1538 | 2008-02-08 |
| 1376729483 | Accentcare Home Health of California, Inc. | Home Health | 2934 E Garvey Ave S Ste 210, West Covina, CA 91791 | 2008-01-18 |
| 1730363987 | Advanced Home Care Services | Home Health | 1335 S Azusa Ave Ste 216, West Covina, CA 91792-3966 | 2007-12-24 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
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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.