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General NPI Number Information
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NPI Number | 1487593539
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Entity Type | Organization
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Legal Business Name | PREMIER CARE COORDINATION
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 219 N LAKE ST
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City | GARY
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State | IN
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Zip | 46403-1964
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Country | US
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Telephone | 317-751-1772
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Fax |
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Provider Business Mailing Address
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Address Line | 9105 E 56TH ST STE J
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City | INDIANAPOLIS
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State | IN
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Zip | 46216-2231
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Country | US
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Telephone | 317-751-1772
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Fax |
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Authorized Official
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Title or Position | OWNER AND FOUNDER
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Name | RACHEL YATES
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Credential |
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Telephone | 317-751-1772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number |
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License Number State |
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