Healthcare Provider Details

I. General information

NPI: 1710869573
Provider Name (Legal Business Name): PREMIERE SOLUTIONS GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2025
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1447 EBENEZER RD STE 101
ROCK HILL SC
29732-2338
US

IV. Provider business mailing address

13236 HAMPTON BAY LN
CHARLOTTE NC
28262-3081
US

V. Phone/Fax

Practice location:
  • Phone: 803-500-4453
  • Fax:
Mailing address:
  • Phone: 803-500-4433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: WARITH MUHAMMAD
Title or Position: OWNER
Credential:
Phone: 803-500-4433