Healthcare Provider Details

I. General information

NPI: 1972200483
Provider Name (Legal Business Name): PREMIER FAMILY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2023
Last Update Date: 03/22/2023
Certification Date: 03/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9555 LEBANON RD STE 401
FRISCO TX
75035-6082
US

IV. Provider business mailing address

9555 LEBANON RD STE 401
FRISCO TX
75035-6082
US

V. Phone/Fax

Practice location:
  • Phone: 430-307-3995
  • Fax: 469-840-5200
Mailing address:
  • Phone: 430-307-3995
  • Fax: 469-840-5200

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 Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. GLORIA OSEI-FREMPONG MARFO
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 430-307-3995