Healthcare Provider Details

I. General information

NPI: 1245389675
Provider Name (Legal Business Name): PREMIER HOME HEALTH CARE OF MASSACHUSETTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 09/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 CHURCH ST 2ND FLOOR
PITTSFIELD MA
01201-6187
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 413-442-2888
  • Fax: 413-442-0166
Mailing address:
  • Phone: 914-428-7722
  • Fax: 914-428-2404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number4246
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number7247
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number7245
License Number StateMA
# 4
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MR. GREGORY TURCHAN
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 914-428-7722