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General NPI Number Information
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NPI Number | 1619886629
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Entity Type | Organization
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Legal Business Name | PREMIER RESPIRATORY CARE LLC
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 11834 CAPITAL WAY
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City | LOUISVILLE
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State | KY
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Zip | 40299-6332
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Country | US
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Telephone | 270-594-5058
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Fax | 270-594-8552
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Provider Business Mailing Address
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Address Line | 6085 STRICKLAND AVE
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City | BROOKLYN
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State | NY
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Zip | 11234-6443
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Country | US
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Telephone | 929-450-0120
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Fax | 929-430-0908
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL PULTMAN
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Credential |
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Telephone | 929-450-0120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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