Healthcare Provider Details

I. General information

NPI: 1205146206
Provider Name (Legal Business Name): PREMIER HOME HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2010
Last Update Date: 05/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 FAIRGROVE CHURCH ROAD SE SUITE 204
CONOVER NC
28613
US

IV. Provider business mailing address

445 HAMILTON AVE FL 10
WHITE PLAINS NY
10601-1831
US

V. Phone/Fax

Practice location:
  • Phone: 828-327-9600
  • Fax: 828-327-9626
Mailing address:
  • Phone: 914-428-7722
  • Fax: 914-428-2404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC1193
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberHC1193
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberHC1193
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberHC1193
License Number StateNC

VIII. Authorized Official

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