Healthcare Provider Details

I. General information

NPI: 1891812558
Provider Name (Legal Business Name): PREMIER HOME HEALTH CARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 09/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 BRADLEY RD SUITE 7B
MADISON CT
06443-2662
US

IV. Provider business mailing address

445 HAMILTON AVE 10TH FLOOR
WHITE PLAINS NY
10601-1807
US

V. Phone/Fax

Practice location:
  • Phone: 203-245-4153
  • Fax: 203-245-4673
Mailing address:
  • Phone: 914-428-7722
  • Fax: 914-428-2404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number0005
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number0005
License Number StateCT

VIII. Authorized Official

Name: MS. CATHERINE GIANDURCO
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 914-428-7722