PREMIER HEALTHCARE SERVICES, LLC (NPI# 1134306970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134306970 |
| Entity Type | Organization |
| Organization Name | PREMIER HEALTHCARE SERVICES, LLC |
| Other Organization Name | AVEANNA HEALTHCARE |
| Practice Address |
19191 S Vermont Ave Suite 160 Torrance CA 90502-1018 |
| Mailing Address |
400 Interstate North Pkwy Se Ste 1600 Atlanta GA 30339-5047 |
| Practice Telephone | 3109881100 |
| Practice Fax Number | 4242331899 |
| Mailing Telephone | 7702488740 |
| Mailing Fax Number | 7702488740 |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2020-03-16 |
| Authorized Official Name | VICKI WHITESIDE (DIRECTOR REGULATORY LICENSING) |
| Authorized Official Telephone | 7702488740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 550000657 | CA | Agencies |
| Other Name | Type Code |
|---|---|
| Aveanna Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336788637 | Premier Healthcare Services, LLC | Hospice Care, Community Based | 907 Irvington Pl, Chester, PA 19013-5215 | 2020-01-03 |
| 1437555984 | Premier Healthcare Services, LLC | Home Health | 5250 N Palm Ave, Suite 227, Fresno, CA 93704-2218 | 2014-11-11 |
| 1972922037 | Premier Healthcare Services, LLC | Home Health | 14001 E Iliff Ave Ste 206, Aurora, CO 80014-1425 | 2014-04-15 |
| 1295159366 | Premier Healthcare Services, LLC | Home Health | 12401 Hesperia Rd Ste 8, Victorville, CA 92395-5844 | 2014-02-10 |
| 1407280563 | Premier Healthcare Services, LLC | Home Health | 333 Palmer Dr, Suite 210, Bakersfield, CA 93309-2695 | 2013-08-26 |
| 1194162107 | Premier Healthcare Services, LLC | Home Health | 10100 Pioneer Blvd, Suite 125, Santa Fe Springs, CA 90670-3736 | 2013-05-30 |
| 1437400165 | Premier Healthcare Services, LLC | Home Health | 6133 Bristol Parkway, Suite 278, Culver City, CA 90230-6658 | 2012-09-20 |
| 1598077364 | Premier Healthcare Services, LLC | Home Health | 338 Via Vera Cruz, Suite 210, San Marcos, CA 92078-2645 | 2010-07-09 |
| 1396064093 | Premier Healthcare Services, LLC | Home Health | 1000 Atlantic Ave Ste 112, Alameda, CA 94501 | 2010-05-20 |
| 1235458936 | Premier Healthcare Services, LLC | Home Health | 23046 Avenida De La Carlota Ste 210, Laguna Hills, CA 92653 | 2010-05-20 |
| Street Address |
19191 S VERMONT AVE SUITE 160 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90502-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093771768 | Colette Mcfadden | Hospitalist | 19191 S Vermont Ave, Torrance, CA 90502-1018 | 2006-04-21 |
| 1659759074 | Marietta Joy Luzon-vidad | Nurse Practitioner | 19191 S Vermont Ave, Suite 200, Torrance, CA 90502-1018 | 2015-05-18 |
| 1780098525 | Optumcare Management, LLC | Family Medicine | 19191 S Vermont Ave, Suite 200, Torrance, CA 90502-1018 | 2014-06-19 |
| 1235480583 | Healthcare Partners Associates Medical Group, P.C. | Internal Medicine | 19191 S Vermont Ave, Suite 200, Torrance, CA 90502-1018 | 2012-09-26 |
| 1366751539 | Jennifer Honghanh Nguyen | Nurse Practitioner | 19191 S Vermont Ave, Ste 200, Torrance, CA 90502-1018 | 2010-10-05 |
| 1851548564 | Stephanie J. Jennison | Nurse Practitioner | 19191 S Vermont Ave, Torrance, CA 90502-1018 | 2008-08-25 |
| 1508044637 | Darshana Sarathchandra | Internal Medicine | 19191 S Vermont Ave, Suite 300, Torrance, CA 90502-1018 | 2008-01-31 |
| 1982890893 | Dawn Denny | Physical Therapist | 19191 S Vermont Ave, Suite 410a, Torrance, CA 90502-1018 | 2007-09-25 |
| 1841486115 | Grace Imperial Hoffman | Occupational Therapist | 19191 S Vermont Ave, Suite 410, Torrance, CA 90502-1018 | 2007-09-20 |
| 1447443692 | Monique Marie Guiterrez | Nurse Practitioner | 19191 S Vermont Ave, Suite: 350, Torrance, CA 90502-1018 | 2007-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319149 | Gia Chodzen | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St, #488, Torrance, CA 90502 | 2020-09-04 |
| 1750994919 | Desiree Elise Cervantes | Social Worker | Harbor Ucla Medical Center, 1000 West Carson Street, Torrance, CA 90502 | 2020-08-27 |
| 1205448644 | Tabitha Tamara Black | Student in an Organized Health Care Education/Training Program | Harbor Ucla Dmh 1000 W Carson Street, Number 488, Torrance, CA 90502 | 2020-08-18 |
| 1538718531 | Harbor-ucla Dmh | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St Box #498, Torrance, CA 90502 | 2019-09-11 |
| 1891345831 | Sydney Del Carmen Wheat | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Box #488, Torrance, CA 90502 | 2019-09-11 |
| 1467971283 | Grace Y Kim | Student in an Organized Health Care Education/Training Program | Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 | 2017-09-13 |
| 1619498631 | Shauntel Locus | Case Manager/Care Coordinator | 1124 W. Carson Street, Torrance, CA 90502 | 2017-06-29 |
| 1740700079 | Charlise Brown-scranton | Registered Nurse | 711 W. Del Amo Blvd, Torrance, CA 90502 | 2017-06-27 |
| 1497280978 | C Edward Villasenor Castelo | Specialist | 1000 W Carson St # D5, Torrance, CA 90502 | 2017-04-21 |
| 1114464393 | Brissa Giron | Counselor | 19401 Vermont Ave, Suite C100, Torrance, CA 90502 | 2017-01-25 |
| Find all providers in zip 90502 | ||||
| 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 |
|---|---|---|---|---|
| 1104481076 | Thrive Health Inc. | Home Health | 23211 Hawthorne Blvd Ste 200a, Torrance, CA 90505-3769 | 2019-05-07 |
| 1487130043 | Blue Iris Home Health, Inc. | Home Health | 3820 Del Amo Blvd Ste 228, Torrance, CA 90503-2154 | 2018-07-17 |
| 1093215600 | Winnie Simmons | Home Health | 1349 W 219th St, Torrance, CA 90501-4008 | 2018-02-20 |
| 1376084475 | Mardu Inc Dba Visiting Angels | Home Health | 3655 Torrance Blvd Fl 3, Torrance, CA 90503-4857 | 2017-03-09 |
| 1821444522 | Peace Home Health Care | Home Health | 2420 W Carson St Ste 200, Torrance, CA 90501-3166 | 2016-05-11 |
| 1346694346 | Prime Care Health Services Inc | Home Health | 800 W Carson St, Suite 24, Torrance, CA 90502-2100 | 2016-04-16 |
| 1689044745 | Prive Care, Inc. | Home Health | 19500 Normandie Ave Ste B, Torrance, CA 90502 | 2015-10-01 |
| 1770953895 | A Care Home Health, Inc. | Home Health | 24445 Hawthorne Blvd Ste 108, Torrance, CA 90505-6562 | 2015-10-01 |
| 1295118347 | Caring Hearts Agency LLC | Home Health | 1508 W 207th St, Apt. D, Torrance, CA 90501-1960 | 2015-07-08 |
| 1831443365 | Pf Development 8, LLC | Home Health | 19191 S Vermont Ave Ste 410, Torrance, CA 90502-4462 | 2012-11-06 |
| Find all providers in TORRANCE | ||||
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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.