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PREMIER HEALTHCARE SERVICE LLC NPI 1790390938


NPI Information

NPI: 1790390938
Provider Name: PREMIER HEALTHCARE SERVICE, LLC
Classification: Nursing Care - 251J00000X
Entity Type: Organization

CLIA Number: 49D2212943

Address:
1015 EDEN WAY N STE A
CHESAPEAKE, VA
ZIP 23320
Phone: (757) 410-2754
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PREMIER HEALTHCARE SERVICE, LLC is a nursing care in Chesapeake, VA. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. PREMIER HEALTHCARE SERVICE, LLC NPI is 1790390938. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1015 EDEN WAY N STE A
CHESAPEAKE, VA
ZIP 23320-787
Phone: (757) 410-2754
Fax: (757) 410-2763

The provider's authorized official is Georgiana Johnson .
The authorized official title is Administrator and has the following contact phone number (757) 410-2754.

The CLIA number assigned to this NPI record is 49D2212943 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2020 and was last updated on 9/14/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerNo
2385H00000XRespite CareNo
3251E00000XHome HealthNo
4251S00000XCommunity/Behavioral HealthNo
5251J00000XNursing CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.