Healthcare Provider Details

I. General information

NPI: 1164068326
Provider Name (Legal Business Name): PREMIER HOME HEALTH CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2019
Last Update Date: 11/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25000 EUCLID AVE STE 208
EUCLID OH
44117-2647
US

IV. Provider business mailing address

25000 EUCLID AVE STE 208
EUCLID OH
44117-2647
US

V. Phone/Fax

Practice location:
  • Phone: 440-241-0543
  • Fax:
Mailing address:
  • Phone: 440-241-0543
  • Fax:

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: MR. FREDERICK A JONES SR.
Title or Position: CO-OWNER
Credential:
Phone: 216-482-7718