MEDICARE: PREMIER HEALTH CARE 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	251E00000X	Home Health Agency		MN

General Provider Information

NPI Number	:	1801960711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER HEALTH CARE INC

Provider Business Mailing Address
First Line	:	300 1ST AVE NW STE 200
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55901-2830
Country	:	US
Telephone Number	:	507-285-3339
Fax Number	:	507-252-1126

Provider Business Practice Location Address
First Line	:	300 1ST AVE NW STE 200
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55901-2830
Country	:	US
Telephone Number	:	507-285-3339
Fax Number	:	507-252-1126

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. MOHAMED AHMED YUSUF
Credential	:
Telephone Number	:	507-285-3339

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	08/22/2020

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