Healthcare Provider Details

I. General information

NPI: 1871513481
Provider Name (Legal Business Name): PREMIER SENIOR SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 MAIN STREET
OLATHE CO
81425-0061
US

IV. Provider business mailing address

PO BOX 61
OLATHE CO
81425-0061
US

V. Phone/Fax

Practice location:
  • Phone: 970-323-9191
  • Fax: 970-323-9194
Mailing address:
  • Phone: 970-323-9191
  • Fax: 970-323-9194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHERRY MARIE GOBBER
Title or Position: OWNER
Credential:
Phone: 970-323-9191