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General NPI Number Information
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NPI Number | 1578696233
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Entity Type | Organization
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Legal Business Name | PREMIER HOMECARE, LLC
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4096 HICKORY BLVD
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City | GRANITE FALLS
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State | NC
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Zip | 28630-8372
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Country | US
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Telephone | 828-396-9111
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Fax | 828-396-9112
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Provider Business Mailing Address
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Address Line | 4096 HICKORY BLVD
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City | GRANITE FALLS
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State | NC
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Zip | 28630-8372
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Country | US
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Telephone | 828-396-9111
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Fax | 828-396-9112
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. BETH HATTON JARDON
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Credential | R.N.
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Telephone | 828-396-9111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | HC3386
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number | HC3386
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License Number State | NC
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