MEDICARE: PREMIER POINT HOMECARE

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	:	1255273892
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER POINT HOMECARE

Provider Business Mailing Address
First Line	:	3102 S PRESCOTT AVE
Second Line	:	3102 S PRESCOTT AVE
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64015-1125
Country	:	US
Telephone Number	:	816-938-6174
Fax Number	:

Provider Business Practice Location Address
First Line	:	3102 S PRESCOTT AVE
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64015-1125
Country	:	US
Telephone Number	:	816-938-6174
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PENNY CARNELL JUDIE
Credential	:	LPN
Telephone Number	:	816-938-6174

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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Directions to “PREMIER POINT HOMECARE ” Practice Location

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