PREMIER HOME COMPANION SERVICES, LLC (NPI# 1700247137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700247137 |
| Entity Type | Organization |
| Organization Name | PREMIER HOME COMPANION SERVICES, LLC |
| Practice Address |
475 Appleyard Dr Apt 112 Tallahassee FL 32304-2808 |
| Mailing Address |
Po Box 20681 Tallahassee FL 32316-0681 |
| Practice Telephone | 8505083397 |
| Mailing Telephone | 8505083397 |
| Enumeration Date | 2016-03-13 |
| Last Update Date | 2016-03-13 |
| Authorized Official Name | MR. CURTIS EUGENE BRIDGES II (ADMINISTRATOR) |
| Authorized Official Telephone | 8505083397 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
234334 | FL | Respite Care Facility |
| Y | 253Z00000X | In Home Supportive Care | 234334 | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AGENCY FOR HEALTH CARE ADMINSTRATION | 234334 | 01 |
| Street Address |
475 APPLEYARD DR APT 112 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32304-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214946 | Jamel V Chandler | Adult Companion | 2665 Mission Road., Tallahassee, FL 32304 | 2020-08-05 |
| 1578198248 | Thomson Ivins | Counselor | 175 Geddie Rd, Tallahassee, FL 32304 | 2020-03-03 |
| 1508210022 | Angela Nechele Hall | Physical Therapist | 1329 Abraham Street, Tallahassee, FL 32304 | 2016-04-21 |
| 1780064329 | Bennie Thompkins | Dentist | 535 Apple Yard Dr, Tallahassee, FL 32304 | 2015-06-08 |
| 1104241314 | Osita Abanah | Pharmacist | 1819 West Tennessee St, Tallahassee, FL 32304 | 2014-02-25 |
| 1437584265 | Kristan Aliesha Morgan | Nurse Practitioner | 501 Capital Circle Ne, Tallahassee, FL 32304 | 2013-09-11 |
| 1649550047 | Bond Community Health Center, Inc. | Internal Medicine | 1704 Joe Lewis Street, Tallahassee, FL 32304 | 2011-08-17 |
| 1639309842 | Bond Community Health Center | Internal Medicine | 2729-8 Municipal Way, Kay Freeman Health Center, Tallahassee, FL 32304 | 2009-07-22 |
| 1104016401 | Elder Care Services, Inc. | Homemaker | 2518 W Tennessee St, Tallahassee, FL 32304 | 2007-08-01 |
| 1760548234 | Patricia Janice Mitchell | Adult Companion | 4177 Pleasant Drive, Tallahassee, FL 32304 | 2006-12-29 |
| Find all providers in zip 32304 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567272 | Shauntae Dickey | In Home Supportive Care | 2019 Natalie Ct, Tallahassee, FL 32305-1954 | 2020-08-06 |
| 1467076307 | Courtney Walker | In Home Supportive Care | 6071 Stoneler Rd, Tallahassee, FL 32303-6951 | 2020-06-06 |
| 1922621416 | Tiffany Garrett | In Home Supportive Care | 4003 Buster Rd, Tallahassee, FL 32305-8336 | 2020-05-19 |
| 1922628338 | Melissa Mcneil | In Home Supportive Care | 9512 Shumard Dr, Tallahassee, FL 32305-8940 | 2020-04-26 |
| 1366079410 | Letita Jones | In Home Supportive Care | 5651 Cypress Cir, Tallahassee, FL 32303-6720 | 2020-03-26 |
| 1386279800 | Brittany Martin | In Home Supportive Care | 5205 Village Way, Tallahassee, FL 32303-6928 | 2020-03-04 |
| 1437783693 | Serenity Home Care Agency, LLC | In Home Supportive Care | 2892 E Park Ave Ste 4, Tallahassee, FL 32301-3447 | 2020-02-26 |
| 1053944801 | Tayarisha Sarjeant | In Home Supportive Care | 1898 Sagebrook Dr, Tallahassee, FL 32303-0413 | 2020-02-20 |
| 1205474806 | Purple Harmony Limited Liability Company | In Home Supportive Care | 1726 Augustine Pl, Tallahassee, FL 32301-5127 | 2019-12-13 |
| 1912544685 | Jamicia Williams | In Home Supportive Care | 2341 San Mateo Ct, Tallahassee, FL 32303-3725 | 2019-12-02 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32304 |
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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.