MEDICARE: PREMIER HOME HEALTH CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1205196102
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	3311 DESERETTE LN
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-3780
Country	:	US
Telephone Number	:	614-424-1524
Fax Number	:

Provider Business Practice Location Address
First Line	:	3311 DESERETTE LN
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-3780
Country	:	US
Telephone Number	:	614-424-1524
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER & CEO
Name	:	NADIR ABDI
Credential	:
Telephone Number	:	614-424-1524

Provider Enumeration Date	:	05/24/2012
Last Update Date	:	05/24/2012

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