Healthcare Provider Details

I. General information

NPI: 1487573234
Provider Name (Legal Business Name): PREMIER HOME CARE CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5240 S CLARENDON ST
DETROIT MI
48204-2921
US

IV. Provider business mailing address

607 SHELBY ST STE 7-1141
DETROIT MI
48226-3268
US

V. Phone/Fax

Practice location:
  • Phone: 866-306-6677
  • Fax:
Mailing address:
  • Phone: 866-306-6677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: CANDACE SMITH
Title or Position: PRESIDENT
Credential:
Phone: 866-306-6677