MEDICARE: PREMIER CHOICE HOME HEALTH CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	376J00000X	Homemaker
2	251J00000X	Nursing Care Agency
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1427682475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER CHOICE HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	7260 W BENTON DR
Second Line	:
City	:	FRANKFORT
State	:	IL
Zip	:	60423-9303
Country	:	US
Telephone Number	:	708-455-8300
Fax Number	:	708-564-9800

Provider Business Practice Location Address
First Line	:	7260 W BENTON DR
Second Line	:
City	:	FRANKFORT
State	:	IL
Zip	:	60423-9303
Country	:	US
Telephone Number	:	708-455-8300
Fax Number	:	708-564-9800

Authorized Official
Title or Position	:	CEO
Name	:	AISHA OLUWAKEMI NOAH
Credential	:
Telephone Number	:	312-221-1269

Provider Enumeration Date	:	02/28/2020
Last Update Date	:	03/07/2025

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