PREMIER PERSONAL HEALTH SERVICES, LLC (NPI# 1205100591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205100591 |
| Entity Type | Organization |
| Organization Name | PREMIER PERSONAL HEALTH SERVICES, LLC |
| Other Organization Name | PREMIER CLA |
| Practice Address |
8025 Wilkerson Ln Palmetto GA 30268-8626 |
| Mailing Address |
6269 Greenock Dr Stone Mountain GA 30087-6081 |
| Practice Telephone | 4048199665 |
| Practice Fax Number | 6786246030 |
| Mailing Telephone | 4048199665 |
| Mailing Fax Number | 8666246594 |
| Enumeration Date | 2012-03-04 |
| Last Update Date | 2012-08-12 |
| Authorized Official Name | MRS. LISA YVONNE BRADSHAW-SMALL (CEO) |
| Authorized Official Telephone | 4048199665 |
| Authorized Official Credential | APRN-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003112727A | 05 |
| Other Name | Type Code |
|---|---|
| PREMIER CLA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821354630 | Premier Personal Health Services, LLC | Community/Behavioral Health | 6269 Greenock Dr, Stone Mountain, GA 30087-6081 | 2012-04-05 |
| Street Address |
8025 WILKERSON LN |
| City | PALMETTO |
| State | GA |
| Zip Code | 30268-8626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013521491 | Hla Ambulance LLC | Ambulance | 43 Amanda Ln, Palmetto, GA 30268 | 2020-09-03 |
| 1134779424 | Center for Positive Change LLC | Counselor | 11207 Serenbe Lane, Hills, GA 30268 | 2019-09-18 |
| 1336397868 | Key David Mcmurrain Jr. | Preventive Medicine | 10180 Capps Ferry Road, Palmetto, GA 30268 | 2008-09-09 |
| 1548333115 | Carolyn E Johnson | Registered Nurse | 507 Park Street, Palmetto, GA 30268 | 2006-11-15 |
| 1386710796 | Gary Lane Watts | Dentist | 501 Park St, Palmetto, GA 30268-1007 | 2006-11-28 |
| 1285707455 | Angela P. Shannon | Psychiatry & Neurology | 507 Park St, Palmetto, GA 30268-1007 | 2006-11-16 |
| 1952967234 | Palmetto Health Council, Inc. | Clinic/Center | 507 Park St, Palmetto, GA 30268-1007 | 2019-05-13 |
| 1447791835 | Lyzette Santiago Rodriguez | Counselor | 507 Park St, Palmetto, GA 30268-1007 | 2017-03-17 |
| 1841580560 | Palmetto Family Dental, PC | Dentist | 501 Park St, Palmetto, GA 30268-1007 | 2011-04-14 |
| 1861631053 | Jordan Albert Brunson | Dentist | 501 Park St, Palmetto, GA 30268-1007 | 2009-02-11 |
| Find all providers in zip 30268 | ||||
| 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 |
|---|---|---|---|---|
| 1477189132 | Veterans At Home Care | Home Health | 499 Carlton Ln, Palmetto, GA 30268-8109 | 2020-03-13 |
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| 1740724897 | Lifecare Fusion Home Health LLC | Home Health | 324 8th Ave W, Ste 103, Palmetto, FL 34221-5158 | 2016-12-08 |
| 1386071330 | Odessa Ammons | Home Health | 1210 29th St E, Palmetto, FL 34221-2450 | 2013-10-06 |
| 1235562240 | West Coast Nursing, Inc | Home Health | 751 10th St E Lot 172, Palmetto, FL 34221-5327 | 2013-08-13 |
| 1841638012 | Essential Support Services | Home Health | 3410 5th Dr W, Palmetto, FL 34221-6257 | 2013-06-11 |
| 1295007219 | Home Care of Tampa Bay, LLC | Home Health | 1301 10th St E Ste B, Palmetto, FL 34221-4161 | 2012-02-07 |
| 1962936062 | Molly's Home Care and Loving | Home Health | 1603 72nd St. Ct. East, Palmetto, FL 34221 | 2017-04-14 |
| 1801156971 | Alternative Care Staffing, Inc. | Home Health | 503 8th Ave W, Palmetto, FL 34221-5121 | 2012-05-23 |
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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 |
| 1902406804 | Southern Home Care Services, Inc. | Home Health | 102 S Green St, Swainsboro, GA 30401-3131 | 2020-10-29 |
| 1942800743 | Vidma Care Mission, LLC | Home Health | 3045 Whittier Way, Cumming, GA 30040-0722 | 2020-10-29 |
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| 1588263917 | 963 Hz LLC | Home Health | 621 Arbor Cir, Tucker, GA 30084-3061 | 2020-10-17 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.