MEDICARE: PREMIER HOME HEALTH INC

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	251E00000X	Home Health Agency	4859HHA-6	NV
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1871789230
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER HOME HEALTH INC

Provider Business Mailing Address
First Line	:	6843 W CHARLESTON BLVD
Second Line	:	STE A
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1646
Country	:	US
Telephone Number	:	702-804-0600
Fax Number	:	704-804-0900

Provider Business Practice Location Address
First Line	:	6843 W CHARLESTON BLVD
Second Line	:	STE A
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1646
Country	:	US
Telephone Number	:	702-804-0600
Fax Number	:	704-804-0900

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ALFONSO GUILLERMO ALINO JR.
Credential	:
Telephone Number	:	702-844-0316

Provider Enumeration Date	:	09/19/2007
Last Update Date	:	02/06/2020

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