MEDICARE: PREMIER HEALTH SERVICES INC.

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	251F00000X	Home Infusion Agency
2	251B00000X	Case Management Agency
3	385H00000X	Respite Care
4	251S00000X	Community/Behavioral Health Agency
5	251E00000X	Home Health Agency	-66001743	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780622142
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER HEALTH SERVICES INC.

Provider Business Mailing Address
First Line	:	7600 GEORGIA AVE NW
Second Line	:	#323
City	:	WASHINGTON
State	:	DC
Zip	:	20012-1616
Country	:	US
Telephone Number	:	202-723-3060
Fax Number	:	202-723-3065

Provider Business Practice Location Address
First Line	:	7600 GEORGIA AVE NW
Second Line	:	#323
City	:	WASHINGTON
State	:	DC
Zip	:	20012-1616
Country	:	US
Telephone Number	:	202-723-3060
Fax Number	:	202-723-3065

Authorized Official
Title or Position	:	PRESIDENT
Name	:	IJEOMA U ARUNGWA
Credential	:
Telephone Number	:	202-723-3060

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	07/21/2022

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