Healthcare Provider Details

I. General information

NPI: 1285147215
Provider Name (Legal Business Name): A PREMIER SENIOR HOME CARE ACQUISITIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2017
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 W CHOCTAW AVE STE A
CHICKASHA OK
73018-2634
US

IV. Provider business mailing address

6760 OLD JACKSONVILLE HWY STE 101
TYLER TX
75703-0566
US

V. Phone/Fax

Practice location:
  • Phone: 405-892-5560
  • Fax:
Mailing address:
  • Phone: 855-485-8273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number
License Number StateOK

VIII. Authorized Official

Name: KATRINA DAWN LANIER
Title or Position: SECRETARY
Credential:
Phone: 855-485-8273