Provider Demographics
NPI:1427518190
Name:PREMIER HOME HEALTH CARE SERVICES, INC
Entity type:Organization
Organization Name:PREMIER HOME HEALTH CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF FINANCIAL OPERATIONS & IT
Authorized Official - Prefix:
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:J
Authorized Official - Last Name:LOUSBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-467-5540
Mailing Address - Street 1:1 N LEXINGTON AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-1712
Mailing Address - Country:US
Mailing Address - Phone:914-428-7722
Mailing Address - Fax:914-428-2404
Practice Address - Street 1:562 HUFFMAN MILL RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-5100
Practice Address - Country:US
Practice Address - Phone:336-586-1712
Practice Address - Fax:336-586-1724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-20
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7100695Medicaid
NCHC1035OtherSTATE OF NORTH