Healthcare Provider Details

I. General information

NPI: 1104065739
Provider Name (Legal Business Name): PREMIER HOME HEALTH CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2009
Last Update Date: 01/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2783 HIGHWAY 68 SOUTH SUITE 101
HIGH POINT NC
27265-8325
US

IV. Provider business mailing address

1 N LEXINGTON AVE STE 200
WHITE PLAINS NY
10601-1712
US

V. Phone/Fax

Practice location:
  • Phone: 336-307-2095
  • Fax: 336-307-3138
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 NumberHC0028
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberHC0028
License Number StateNC

VIII. Authorized Official

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