Healthcare Provider Details

I. General information

NPI: 1053525352
Provider Name (Legal Business Name): PREMIER HOME HEALTH CARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 01/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 MORRIS AVE STE 203
UNION NJ
07083-5706
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 908-322-8883
  • Fax: 908-322-8778
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 NumberHP0231605
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberHP0231605
License Number StateNJ

VIII. Authorized Official

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