Healthcare Provider Details

I. General information

NPI: 1629990742
Provider Name (Legal Business Name): PREMIER HOME HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W PEMBROKE RD STE 204
HALLANDALE BEACH FL
33009-2179
US

IV. Provider business mailing address

1000 W PEMBROKE RD STE 204
HALLANDALE BEACH FL
33009-2179
US

V. Phone/Fax

Practice location:
  • Phone: 786-205-3127
  • Fax:
Mailing address:
  • Phone: 786-205-3127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RAFAEL ABREU
Title or Position: OWNER
Credential:
Phone: 786-205-3127