MEDICARE: PREMIER PERSONAL CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1013876275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER PERSONAL CARE LLC

Provider Business Mailing Address
First Line	:	6301 MOUNTAIN VISTA ST STE 104
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-2365
Country	:	US
Telephone Number	:	702-280-8258
Fax Number	:

Provider Business Practice Location Address
First Line	:	6301 MOUNTAIN VISTA ST STE 104
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-2365
Country	:	US
Telephone Number	:	702-280-8258
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	CHRISTOPHER DEL POZO
Credential	:
Telephone Number	:	702-280-8258

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	02/04/2026

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