PREMIER HOME HEALTH AGENCY (NPI# 1003219007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003219007 |
| Entity Type | Organization |
| Organization Name | PREMIER HOME HEALTH AGENCY |
| Practice Address |
3555 Western Ave Kingman AZ 86409 |
| Mailing Address |
3555 Western Ave Kingman AZ 86409-3011 |
| Practice Telephone | 9283771004 |
| Practice Fax Number | 9287577179 |
| Mailing Telephone | 9283771004 |
| Mailing Fax Number | 9287577179 |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2015-06-30 |
| Authorized Official Name | MS. HEATHER D BLANCHART (OFFICE MANAGER) |
| Authorized Official Telephone | 9283771004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | HHA6631 | AZ | Agencies |
| Street Address |
3555 WESTERN AVE |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073748 | Northern Arizona Medical Group, Pllc | Clinical Medical Laboratory | 3555 Western Ave, Kingman, AZ 86409-3291 | 2020-11-04 |
| 1538667423 | Donescia Monique Hypolite | Nurse Practitioner | 3555 Western Ave, Kingman, AZ 86409-3011 | 2018-01-25 |
| 1609236967 | Lori Lynn Schott | Nurse Practitioner | 3555 Western Ave, Kingman, AZ 86409-3011 | 2016-02-29 |
| 1699159111 | Northern Arizona Medical Group, Pllc | Clinic/Center | 3555 Western Ave, Kingman, AZ 86409-3011 | 2015-07-14 |
| 1245626399 | Jenifer Pichardo | Registered Nurse | 3555 Western Ave, Kingman, AZ 86409-3011 | 2015-04-15 |
| 1669864690 | Premier Chronic Care Management, Pllc | Internal Medicine | 3555 Western Ave, Kingman, AZ 86409-3011 | 2015-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437695731 | Medical Laboratory Specialty, Inc | Clinical Medical Laboratory | 3636 St, Kingman, AZ 86409 | 2017-01-10 |
| 1558774984 | Fernando Velez | Pharmacist | 2003 Roy Rogers Way, Kingman, AZ 86409 | 2014-06-03 |
| 1013227834 | Route 66 Cab Inc | Taxi | 3595 E Us Highway 66, Kingman, AZ 86409 | 2010-10-14 |
| 1740503374 | Route 66 Cab Inc. | Taxi | 3595 East Hwy 66, Kingman, AZ 86409 | 2010-03-10 |
| 1649409145 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 3501 Stockton Hill Rd, Kingman, AZ 86409 | 2009-07-07 |
| 1790922896 | Jack Cheng-tsung Hou | Urology | 1739 E Beverly Ave Ste 106, Kingman, AZ 86409 | 2009-01-12 |
| 1710184726 | Michele F Epstein | Internal Medicine | 3571 N Moore Street, Kingman, AZ 86409 | 2007-07-02 |
| 1013118306 | Conchita O Mercado | Dentist | 1101 Riata Valley Rd, Kingman, AZ 86409 | 2007-05-31 |
| 1366585945 | Deering Therapy Services Ltd | Occupational Therapist | 1841 Morrow Ave, Kingman, AZ 86409 | 2007-02-14 |
| 1386702546 | Arizona Desert Dermatology and Surgery PC | Dermatology | 1700 Sycamore Avenue, Kingman, AZ 86409 | 2006-12-04 |
| Find all providers in zip 86409 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558796961 | Alexander Pediatric Therapies LLC | Home Health | 3256 Cypress St, Kingman, AZ 86401-3812 | 2013-09-05 |
| 1063682920 | Hualapai Home Health Care, Inc. | Home Health | 2535 Hualapai Mountain Rd, Suite B, Kingman, AZ 86401-5493 | 2008-03-06 |
| 1174701478 | Kingman Healthcare, Inc | Home Health | 2202 N Stockton Hill Rd Ste 200, Kingman, AZ 86401-4622 | 2008-02-08 |
| 1821127044 | Ninnescah Valley Health Systems | Home Health | 750 West D Ave, Kingman, KS 67068 | 2007-03-05 |
| 1386602977 | Ninnescah Valley Health Systems, Inc. | Home Health | 750 W D Ave, Kingman, KS 67068-1266 | 2006-05-03 |
| 1265423917 | Kingman Healthcare, Inc | Home Health | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881606 | Keystone Paramedical In-home Services, Inc. | Home Health | 1889 W Queen Creek Rd Apt 1112, Chandler, AZ 85248-3089 | 2020-11-05 |
| 1578162681 | Deshea Willis | Home Health | 21150 N Tatum Blvd Apt 3049, Phoenix, AZ 85050-7238 | 2020-10-20 |
| 1609474071 | Tender Loving Home Care LLC | Home Health | 4646 E Fort Lowell Rd Ste 106, Tucson, AZ 85712-1100 | 2020-10-16 |
| 1144828831 | Vital Homecare, Inc. | Home Health | 2375 E Camelback Rd Ste 632, Phoenix, AZ 85016-3424 | 2020-10-14 |
| 1124625645 | Bright Future Behavioral Homes LLC | Home Health | 4707 E Mcdowell Rd Apt 1197, Phoenix, AZ 85008-4534 | 2020-10-07 |
| 1578170643 | Arizona American Hospice | Home Health | 1325 S 123rd Dr, Avondale, AZ 85323-3140 | 2020-09-23 |
| 1083220891 | 360care | Home Health | 3719 S Atherton Blvd, Gilbert, AZ 85297-7431 | 2020-09-17 |
| 1255947156 | Royalty Healthcare LLC | Home Health | 5670 S Eucalyptus Pl, Chandler, AZ 85249-5224 | 2020-09-17 |
| 1346856374 | Family Care Home Health & Hospice | Home Health | 1695 Mesquite Ave Ste 108, Lake Havasu City, AZ 86403-5684 | 2020-09-16 |
| 1699380048 | Robinson Group | Home Health | 1735 E Baker Dr, Tempe, AZ 85282-7206 | 2020-09-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.