Provider Demographics
NPI:1356554612
Name:PREMIER HOME HEALTH CARE SERVICES, INC
Entity type:Organization
Organization Name:PREMIER HOME HEALTH CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIELD NURSE SUPERVISOR, BRONX
Authorized Official - Prefix:MS
Authorized Official - First Name:FAITH
Authorized Official - Middle Name:KAREN
Authorized Official - Last Name:HUGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:718-828-4700
Mailing Address - Street 1:272 NUBER AVE
Mailing Address - Street 2:MOUNT VERNON
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10553-1408
Mailing Address - Country:US
Mailing Address - Phone:914-668-4544
Mailing Address - Fax:
Practice Address - Street 1:272 NUBER AVE
Practice Address - Street 2:#2
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10553-1408
Practice Address - Country:US
Practice Address - Phone:914-668-4544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY429750251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY429750OtherRN LICENSE