PREMIER HOME HEALTH MANAGEMENT LLC (NPI# 1720596562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720596562 |
| Entity Type | Organization |
| Organization Name | PREMIER HOME HEALTH MANAGEMENT LLC |
| Practice Address |
2603 Decatur Hwy Gardendale AL 35071-2185 |
| Mailing Address |
Po Box 1344 Gardendale AL 35071-1344 |
| Practice Telephone | 2053064674 |
| Practice Fax Number | 2054492880 |
| Mailing Telephone | 2053064674 |
| Mailing Fax Number | 2054492880 |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2018-11-12 |
| Authorized Official Name | CHERYL D PREWITT (CEO/CARE MANAGER) |
| Authorized Official Telephone | 2053064674 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
2603 DECATUR HWY |
| City | GARDENDALE |
| State | AL |
| Zip Code | 35071-2185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689838955 | Gerald W Franks | Counselor | 2603 Decatur Hwy, #204, Gardendale, AL 35071-2185 | 2008-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144705682 | Ragan Overby | Nurse Practitioner | 960 Mount Olive Parkway, Gardendale, AL 35071 | 2018-10-01 |
| 1336632561 | Gardendale Oral Surgery, P.C. | Dentist | 919 Sharit Ave Ste 201, Gardendale, AL 35071 | 2018-06-12 |
| 1639696859 | Hillary Neal Davis | Nurse Practitioner | 313 Fieldstown Rd Ste 103, Gardendale, AL 35071 | 2017-08-28 |
| 1306218367 | Gardendale Health Mart Pharmacy LLC | Pharmacy | 835 Odum Rd Ste 101, Gardendale, AL 35071 | 2015-10-29 |
| 1164891610 | Cherry Kelly | Pharmacist | 890 Odum Road, Gardendale, AL 35071 | 2015-09-15 |
| 1023420809 | Paul Mcdonald | Nurse Practitioner | 2334 Us Highway 31, Gardendale, AL 35071 | 2014-05-28 |
| 1285056671 | Andrea Brown | Physical Therapy Assistant | 420 Dean Lane, Gardendale, AL 35071 | 2014-01-20 |
| 1720328784 | Genesis Rehabilation | Skilled Nursing Facility | 420 Dean Drive, Gardendale, ALABAMA 35071 | 2013-02-27 |
| 1609036003 | Sarah Peters Cribbs | Internal Medicine | 210 Fieldstown Rd, Gardendale, AL 35071 | 2008-06-10 |
| 1548313422 | Brookwood Urgent Care, L.L.C. | Family Medicine | 2117 Decatur Highway, Suite 131, Gardendale, AL 35071 | 2007-01-22 |
| Find all providers in zip 35071 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184236721 | Nekiya Jones | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 417 Fox Run Lane, Pell City, AL 35125-9366 | 2020-08-17 |
| 1952926230 | Ouicare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 117 E Forest Ave, Troy, AL 36081-4501 | 2020-06-11 |
| 1194352120 | Montessori Mental Health LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 209 Glen Meadow Ln, Harvest, AL 35749-8995 | 2020-03-27 |
| 1467098681 | Fhl Group Home,llc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12218 Spring Rd, Tanner, AL 35671-3214 | 2019-11-22 |
| 1356858930 | Latoya Mckinstry | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3914 Watermelon Rd, Northport, AL 35473-5184 | 2018-01-04 |
| 1972021970 | Volunteers of America Southeast | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1204 Hillcrest Rd, Mobile, AL 36695-3930 | 2017-08-30 |
| 1316463144 | Answered Prayer Home Care Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4101 Wall St Ste C, Montgomery, AL 36106-3724 | 2017-08-14 |
| 1851813422 | Ericka Letoindia Betton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1554 Basil St, Mobile, AL 36603-5019 | 2017-07-14 |
| 1740719566 | Yvette Renee Fuller | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 102 Populus Dr, Harvest, AL 35749-4802 | 2017-06-06 |
| 1790134757 | Three Folds Care Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6336 Taylor Ridge Rd, Montgomery, AL 36116-6507 | 2016-06-09 |
| Find all providers with the same taxonomy | ||||
| City | GARDENDALE |
| Zip Code | 35071 |
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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.