=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285563452
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HBK PREMIER CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/14/2026
-----------------------------------------------------
Last Update Date | 05/14/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 121 KENNEDY PARK DR
-----------------------------------------------------
City | GRANVILLE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43023-6501
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-705-4845
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 121 KENNEDY PARK DR
-----------------------------------------------------
City | GRANVILLE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43023-6501
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-705-4845
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CO-OWNER
-----------------------------------------------------
Name | HABY BAH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 470-272-3528
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 376J00000X
-----------------------------------------------------
Taxonomy Name | Homemaker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------