Provider Demographics
NPI:1316798721
Name:PREMIER PRIVATE HOME CARE CORP
Entity type:Organization
Organization Name:PREMIER PRIVATE HOME CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:YURAIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOTERO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:239-241-2826
Mailing Address - Street 1:315 AIRPORT PULLING RD N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104
Mailing Address - Country:US
Mailing Address - Phone:239-241-2826
Mailing Address - Fax:239-331-4687
Practice Address - Street 1:315 AIRPORT PULLING RD N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104
Practice Address - Country:US
Practice Address - Phone:239-241-2826
Practice Address - Fax:239-331-4687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care