Healthcare Provider Details

I. General information

NPI: 1588502967
Provider Name (Legal Business Name): PREMIER ELITE HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2113 EVERGLADES LN
THE VILLAGES FL
32163-1037
US

IV. Provider business mailing address

2113 EVERGLADES LN
THE VILLAGES FL
32163-1037
US

V. Phone/Fax

Practice location:
  • Phone: 321-287-6407
  • Fax: 321-287-6407
Mailing address:
  • Phone: 321-287-6407
  • Fax: 321-287-6407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ERICA MARIE YOUNG
Title or Position: CEO
Credential: YOUNG
Phone: 321-287-6407