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General NPI Number Information
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NPI Number | 1902013816
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Entity Type | Organization
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Legal Business Name | PREMIER HOME HEALTH CARE SERVICES, INC.
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 50 CLINTON ST SUITE 608
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City | HEMPSTEAD
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State | NY
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Zip | 11550-4281
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Country | US
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Telephone | 516-292-1500
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Fax | 516-292-3917
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Provider Business Mailing Address
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Address Line | 51 SUNSET AVE
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City | WHEATLEY HEIGHTS
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State | NY
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Zip | 11798-1419
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP OF ADMINISTRATION & HR
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Name | JEANNIE O'SULLIVAN
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Credential |
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Telephone | 914-467-5511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1086L002
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License Number State | NY
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