Healthcare Provider Details

I. General information

NPI: 1427682475
Provider Name (Legal Business Name): PREMIER CHOICE HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2020
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7260 W BENTON DR
FRANKFORT IL
60423-9303
US

IV. Provider business mailing address

7260 W BENTON DR
FRANKFORT IL
60423-9303
US

V. Phone/Fax

Practice location:
  • Phone: 708-455-8300
  • Fax: 708-564-9800
Mailing address:
  • Phone: 708-455-8300
  • Fax: 708-564-9800

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 Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: AISHA OLUWAKEMI NOAH
Title or Position: CEO
Credential:
Phone: 312-221-1269