Healthcare Provider Details

I. General information

NPI: 1477351955
Provider Name (Legal Business Name): PREMIER HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2025
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1913 S EASTERN AVE
LAS VEGAS NV
89104-3917
US

IV. Provider business mailing address

1913 S EASTERN AVE
LAS VEGAS NV
89104-3917
US

V. Phone/Fax

Practice location:
  • Phone: 702-986-8514
  • Fax:
Mailing address:
  • Phone: 702-986-8514
  • 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 Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: ANA BAILETTI
Title or Position: OWNER
Credential:
Phone: 702-986-8514