PREMIER HEALTHCARE SERVICES, LLC (NPI# 1811238967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811238967 |
| Entity Type | Organization |
| Organization Name | PREMIER HEALTHCARE SERVICES, LLC |
| Other Organization Name | AVEANNA HEALTHCARE |
| Practice Address |
40015 Sierra Hwy Suite B-180 Palmdale CA 93550-2101 |
| Mailing Address |
400 Interstate North Pkwy Se Ste 1600 Atlanta GA 30339-5047 |
| Practice Telephone | 6262047930 |
| Practice Fax Number | 6262047950 |
| Mailing Telephone | 7702488740 |
| Mailing Fax Number | 6262047950 |
| Enumeration Date | 2013-03-13 |
| 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 | CA | 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 |
40015 SIERRA HWY SUITE B-180 |
| City | PALMDALE |
| State | CA |
| Zip Code | 93550-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770601494 | Jennifer Quevedo | Case Manager/Care Coordinator | 40015 Sierra Hwy, Palmdale, CA 93550-2101 | 2007-03-27 |
| 1669901948 | Michelle Joseph | Counselor | 40015 Sierra Hwy, Palmdale, CA 93550-2101 | 2017-06-08 |
| 1255785200 | Samantha Maybon | Marriage & Family Therapist | 40015 Sierra Hwy, Palmdale, CA 93550-2101 | 2016-04-15 |
| 1578967501 | Alma Gabriela Tatro | Counselor | 40015 Sierra Hwy, Palmdale, CA 93550-2101 | 2014-10-20 |
| 1134557721 | William Harwell | Case Manager/Care Coordinator | 40015 Sierra Hwy, Palmdale, CA 93550-2101 | 2013-10-17 |
| 1407101652 | Clarence Van Harris Jr. | Case Manager/Care Coordinator | 40015 Sierra Hwy, Palmdale, CA 93550-2101 | 2012-07-13 |
| 1427228600 | Percy Brown | Counselor | 40015 Sierra Hwy, Palmdale, CA 93550-2101 | 2008-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612118 | Well Care Hospice Inc | Hospice Care, Community Based | 1543j East Palmdale Blvd., Palmdale, CA 93550 | 2020-09-03 |
| 1922565522 | California Recuperative Care, Inc | Social Worker | 38529 6th St. East, Palmdale, CA 93550 | 2019-03-01 |
| 1649751777 | Earl Larry Hernandez | Rehabilitation Practitioner | 1609 East Palmdale Blvd Suite G, Palmdale, CA 93550 | 2018-08-27 |
| 1265940050 | Virginia Alvarez | Counselor | 3058 East Aver14, Palmdale, CA 93550 | 2018-01-16 |
| 1225553498 | Natalie Christine Ragus | Social Worker | 1529 E. Palmdale Blvd. Ste 150, Palmdale, CA 93550 | 2017-08-09 |
| 1104348770 | Purificacion Paguyo Villegas | Registered Nurse | 38350 40th St East, 2nd Floor, Palmdale, CA 93550 | 2017-07-14 |
| 1528580438 | Perla Marilyn Rodriguez | Registered Nurse | 38350 40th St East, Palmdale, CA 93550 | 2017-07-12 |
| 1992259527 | Nathalie Exconde | Counselor | 1529 East Palmdale Blvd Suite 150, Palmdale, CA 93550 | 2016-08-11 |
| 1083064604 | Sinead Diaz | Community Health Worker | 2323a East Palmdale Boulvard, Palmdale, CA 93550 | 2016-06-14 |
| 1598122293 | Sharnelle Denise Patterson | Rehabilitation Practitioner | 2010 Moonflower Ct, Palmdale, CA 93550 | 2016-01-26 |
| Find all providers in zip 93550 | ||||
| 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 |
|---|---|---|---|---|
| 1447858113 | Pure Devotion LLC | Home Health | 190 Sierra Ct Ste B204, Palmdale, CA 93550-7615 | 2020-10-14 |
| 1013530112 | Antelope Valley Home Health Agency Inc. | Home Health | 445 W Palmdale Blvd Ste L, Palmdale, CA 93551-4509 | 2020-05-22 |
| 1003306879 | Private Passion Elderly Care | Home Health | 37522 Park Forest Ct, Palmdale, CA 93552-4645 | 2018-05-16 |
| 1487003356 | Thriving Consultingname | Home Health | 2845 Ladyfern Lane, Palmdale, CA 93551 | 2016-06-10 |
| 1356798623 | Clear Sky American Help Inc. | Home Health | 41648 Port Ave, Palmdale, CA 93551-1690 | 2016-05-17 |
| 1568869303 | Angel Congregate Living, Inc | Home Health | 38536 Desert View Dr, Palmdale, CA 93551 | 2014-11-21 |
| 1639486202 | Prioritycare Professional Home Health | Home Health | 38733 9th St E, Suite N, Palmdale, CA 93550-2911 | 2010-09-02 |
| 1477788057 | Loyal Home Companion Services | Home Health | 311 Bogie St, Palmdale, CA 93551-2915 | 2009-05-26 |
| 1790963031 | Denpta Home Care | Home Health | 38345 30th St E Ste E8, Palmdale, CA 93550-4984 | 2008-02-08 |
| 1821089830 | Alden Home Health Care Corporation | Home Health | 1061 W Avenue M14, Suite A, Palmdale, CA 93551-1430 | 2005-10-31 |
| Find all providers in PALMDALE | ||||
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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.