Healthcare Provider Details

I. General information

NPI: 1700257524
Provider Name (Legal Business Name): PREMIERFIRST HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2015
Last Update Date: 05/03/2024
Certification Date: 05/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3033 SULLIVANT AVE
COLUMBUS OH
43204-2424
US

IV. Provider business mailing address

3033 SULLIVANT AVE
COLUMBUS OH
43204-2424
US

V. Phone/Fax

Practice location:
  • Phone: 614-443-3110
  • Fax: 614-443-3201
Mailing address:
  • Phone: 614-443-3110
  • Fax: 614-443-3201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ADELE W AWL
Title or Position: ADMINISTRATOR
Credential:
Phone: 614-443-3110