PREMIER HOME CARE, INC. (NPI# 1417906264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417906264 |
| Entity Type | Organization |
| Organization Name | PREMIER HOME CARE, INC. |
| Practice Address |
9880 Bustleton Ave Suite 309 Philadelphia PA 19115-2185 |
| Practice Telephone | 2159692225 |
| Practice Fax Number | 2159692276 |
| Mailing Telephone | 2159692225 |
| Mailing Fax Number | 2159692276 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. IRENE M BROTSKY (PRESIDENT) |
| Authorized Official Telephone | 2159692225 |
| Authorized Official Credential | RN, BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 02620501 | PA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1015021530001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533502 | Premier Home Care, Inc. | Durable Medical Equipment & Medical Supplies | 1040 2nd St Ste A, Columbus, IN 47201-6810 | 2020-09-21 |
| 1467678334 | Premier Home Care, Inc. | Home Health | 7376 Silver Leaf Ln, West Bloomfield, MI 48322-3332 | 2007-04-18 |
| 1679654511 | Premier Home Care, Inc. | Home Health | 504 N Greer Blvd, Pittsburg, TX 75686-1151 | 2006-10-18 |
| 1255313748 | Premier Home Care, Inc. | Durable Medical Equipment & Medical Supplies | 2195 Watterson Trl, Louisville, KY 40299-2437 | 2005-11-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Premier Home Care, Inc. | 141 N Sangre De Cristo, Po Box 5007, Buena Vista, CO 81211-5007 |
| Street Address |
9880 BUSTLETON AVE SUITE 309 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19115-2185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356700835 | Pennsylvania Center for Dental Implants and Periodontics, LLC | Dentist | 9880 Bustleton Ave, Suite 211-212, Philadelphia, PA 19115-2185 | 2016-02-12 |
| 1346680519 | Ksenia Smirnov | Nurse Practitioner | 9880 Bustleton Ave, Suite 208, Philadelphia, PA 19115-2185 | 2013-07-02 |
| 1568765857 | Stephen E Band | Dentist | 9880 Bustleton Ave, Philadelphia, PA 19115-2185 | 2010-12-08 |
| 1003129685 | Janna Prater | Internal Medicine | 9880 Bustleton Ave, Suite 220, Philadelphia, PA 19115-2185 | 2010-07-23 |
| 1891010229 | Albert Einstein Medical Center | Pharmacy | 9880 Bustleton Ave, Suite 332, Philadelphia, PA 19115-2185 | 2010-03-29 |
| 1760604755 | Tatyana Shekhterman | Physical Therapist | 9880 Bustleton Ave, Philadelphia, PA 19115-2185 | 2007-05-02 |
| 1467679738 | Jane Mayrin | Internal Medicine | 9880 Bustleton Ave, Ste 220, Philadelphia, PA 19115-2185 | 2007-04-19 |
| 1144306275 | Robert A Levine | Dentist | 9880 Bustleton Ave, Suite 211-212, Philadelphia, PA 19115-2185 | 2006-10-31 |
| 1417031923 | Pennsylvania Center for Dental Implants and Periodontics | Dentist | 9880 Bustleton Ave, #211-212, Philadelphia, PA 19115-2185 | 2006-10-24 |
| 1023110152 | Lisa K. Jablon | Surgery | 9880 Bustleton Ave, Suite 205, Philadelphia, PA 19115-2185 | 2006-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
| 1639717762 | Cassondra Ondeck | Physical Therapist | Paul's Run Retirement Community, 9896 Bustleton Ave, Philadelphia, PA 19115 | 2019-12-19 |
| 1740747641 | Comfort Ride Transit Inc | Non-emergency Medical Transport (VAN) | 248 Geiger Road, Suite 201 Unit D, Philadelphia, PA 19115 | 2019-02-27 |
| 1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
| 1659857027 | Kiesha Anita Abney | Occupational Therapy Assistant | Chapel Manor (genesis Rehabilitation) 1104 Welsh Road, Philadelphia, PA 19115 | 2018-07-18 |
| 1457844870 | Philadelphia Discount Pharmacy LLC | Pharmacist | 842 Red Lion Road Unit 13, Philadephia, PA 19115 | 2018-06-11 |
| 1770001828 | Ciarra Bell | Occupational Therapist | 828 Red Lion Rd, Philadelphia, PA 19115 | 2017-09-08 |
| 1245604008 | Saria Ibrahim | Counselor | 9651 Clark Street, Philadelphia, PA 19115 | 2015-11-17 |
| 1124413166 | Global Dental Plus LLC | Dentist | 9630 Bustleton Av 2nd Fl, Philadelphia, PA 19115 | 2015-04-06 |
| 1932510161 | Miriam John | Occupational Therapist | 9997 Sandy Road, Philadelphia, PA 19115 | 2014-05-09 |
| Find all providers in zip 19115 | ||||
| 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 |
|---|---|---|---|---|
| 1679174585 | Reputable Solutions Homecare LLC | Home Health | 1005 E Price St, Philadelphia, PA 19138-1806 | 2020-11-06 |
| 1326649799 | Joined Hands Homecare LLC | Home Health | 3728 Lankenau Rd, Philadelphia, PA 19131-2817 | 2020-11-03 |
| 1558962951 | Wilson and Gray Home Care Services LLC | Home Health | 5119 Chester Ave, Philadelphia, PA 19143-4347 | 2020-11-03 |
| 1639779457 | Sisters and Brothers Homecare Agency LLC | Home Health | 2439 S Milan St, Philadelphia, PA 19153-1418 | 2020-10-30 |
| 1831799709 | Kings Health Care, LLC. | Home Health | 5000 Lancaster Ave, Philadelphia, PA 19131-4551 | 2020-10-29 |
| 1316547318 | Brian's Home Care | Home Health | 1103 Princeton Ave, Philadelphia, PA 19111-4232 | 2020-10-28 |
| 1831799147 | All Loving Caregivers Homecare LLC | Home Health | 5443 Wakefield St, Philadelphia, PA 19144-2236 | 2020-10-27 |
| 1083213573 | 1st Independence LLC | Home Health | 1735 Market St Ste A530, Philadelphia, PA 19103-7501 | 2020-10-26 |
| 1932708112 | Stephanie Pierrelouis | Home Health | 101 Beth Dr, Philadelphia, PA 19115-2702 | 2020-10-20 |
| 1548869746 | Aza Sims | Home Health | 30 S 15th St Fl 15, Philadelphia, PA 19102-4806 | 2020-10-20 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19115 |
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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.