Provider Demographics
NPI:1457977456
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 FIN OPS & IT
Authorized Official - Prefix:MRS
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:10601-1736
Mailing Address - Country:US
Mailing Address - Phone:914-428-7722
Mailing Address - Fax:
Practice Address - Street 1:19 POST RD E
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-3432
Practice Address - Country:US
Practice Address - Phone:203-438-3811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-25
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008044839Medicaid