{
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"EIN": null,
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"ParentOrgLBN": null,
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"OrgName": "PREMIER HOME CARE, CORP.",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "8444 WHISPER TRCE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DELAWARE",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "43015-7118",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "614-327-7630",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "610 TAYLOR STATION RD STE A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GAHANNA",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "43230-3587",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "614-863-8950",
"PracticeLocationAddressFaxNumber": "614-863-8980",
"EnumerationDate": "03/26/2007",
"LastUpdateDate": "01/08/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "THAWNGHMUNG",
"AuthorizedOfficialFirstName": "VILAYPHONE",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "614-322-2242",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": "NULL",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "163WH0200X",
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}