Healthcare Provider Details

I. General information

NPI: 1497401954
Provider Name (Legal Business Name): PREMIER HOME MEDICAL EQUIPMENT SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2022
Last Update Date: 09/01/2023
Certification Date: 09/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1976 STOUT DRIVE SUITE 4
WARMINSTER PA
18974
US

IV. Provider business mailing address

PO BOX 428
MARCUS HOOK PA
19061-0428
US

V. Phone/Fax

Practice location:
  • Phone: 610-558-6222
  • Fax: 610-558-6226
Mailing address:
  • Phone: 610-558-6222
  • Fax: 610-558-6226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: WENDY ROBERT RUSSALESI
Title or Position: CHIEF COMPLIANCE OFFICER
Credential: PHARMD, MBA
Phone: 484-246-9499