Healthcare Provider Details

I. General information

NPI: 1730976655
Provider Name (Legal Business Name): PREMIER PERSONAL CARE STAFFING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2025
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5946 FROND WAY FL 33572
APOLLO BEACH FL
33572-2647
US

IV. Provider business mailing address

PO BOX 221
RUSKIN FL
33575-0221
US

V. Phone/Fax

Practice location:
  • Phone: 813-545-7779
  • Fax:
Mailing address:
  • Phone: 813-541-9144
  • Fax: 813-315-7172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. ORIANT MONIQUE PERSON
Title or Position: CEO
Credential: DNP APRN FNP-C PMHNP
Phone: 813-541-9144