MEDICARE: PREMIER HME HEALTH CARE

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	5550325	NY

General Provider Information

NPI Number	:	1962611160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER HME HEALTH CARE

Provider Business Mailing Address
First Line	:	1809 ADAM CLAYTON POWELL JR BLVD
Second Line	:	#4F
City	:	NEW YORK
State	:	NY
Zip	:	10026-3607
Country	:	US
Telephone Number	:	212-865-2464
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 WHITE PLAINS RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10462-1408
Country	:	US
Telephone Number	:	718-828-4700
Fax Number	:

Authorized Official
Title or Position	:	RN,EDUCATOR
Name	:	MS. NORA ARTHUR
Credential	:	RN
Telephone Number	:	718-828-4700

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	08/22/2020

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