PREMIER PEDIATRIC HEALTHCARE SERVICES


Address: 287 Green Oak Ln, Madison, MS 39110-8213
Phone: 6629340206

PREMIER PEDIATRIC HEALTHCARE SERVICES (NPI# 1487196150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487196150
Entity Type Organization
Organization Name PREMIER PEDIATRIC HEALTHCARE SERVICES
Practice Address 287 Green Oak Ln
Madison
MS 39110-8213
Practice Telephone 6629340206
Mailing Telephone 6629340206
Enumeration Date 2016-11-13
Last Update Date 2016-11-13
Authorized Official Name EMILY GRETCHEN HOLLOWAY (MEMBER)
Authorized Official Telephone 6629340206
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 253Z00000X In Home Supportive Care Agencies
Y 251J00000X Nursing Care Agencies

Office Location

Street Address 287 GREEN OAK LN
City MADISON
State MS
Zip Code 39110-8213

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932641602 Emily Gretchen Holloway Registered Nurse 287 Green Oak Ln, Madison, MS 39110-8213 2016-11-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134784689 Therapy South - Gluckstadt LLC Physical Therapist 1716 Us 51, Ste N, Madison, MS 39110 2019-05-09
1871054098 Summit Medical Solutions Durable Medical Equipment & Medical Supplies 107 Azalea Street, Madison, MS 39110 2019-03-29
1912488198 Madison Medical Compounding Pharmacy Pharmacy 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 2018-08-24
1679061469 Nuvena Vein Clinic Anesthesiology 120 Fountains Blvd, Madison, MS 39110 2018-04-26
1467960484 Brick City Drugs, LLC Durable Medical Equipment & Medical Supplies 159 Fountains Blvd, Madison, MS 39110 2018-01-11
1093227589 Hannah Monk Hawthorne Counselor 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 2017-10-25
1548786650 Kimberly Allen Pharmacist 1100 Us- 51, Madison, MS 39110 2017-08-21
1891218186 Delta Elizabeth Stark Chiropractor 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 2017-07-19
1861914848 Laura Hartlein Dietitian, Registered 200 Park Circle Dr. #2, Flowood, MS 39110 2017-07-12
1831620608 Ona Irby Occupational Therapist 105 Munich Dr, Madison, MS 39110 2017-03-23
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Taxonomy Information

Taxonomy Code 251J00000X
Grouping Agencies
Classification Nursing Care

Taxonomy Definition

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.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003454844 Suncrest Companion Services, LLC Nursing Care 113 Cumberland Ave Ste 100, Madison, TN 37115-3339 2019-12-11
1295261972 Andrea C. Rupprecht Nursing Care 201 Tompkins Dr Apt 7, Madison, WI 53716-3278 2017-05-02
1598101206 Tru-comfort Healthcare, LLC Nursing Care 113 Greenfield Way, Madison, MS 39110 2013-05-21
1891812558 Premier Home Health Care Services, Inc Nursing Care 71 Bradley Rd, Suite 7b, Madison, CT 06443-2662 2007-03-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043811631 Collins Home Care LLC Nursing Care 209 Commerce Dr Ste D, Brandon, MS 39042-2756 2020-11-02
1760081301 Magnolia Healthcare Solutions, LLC Nursing Care 402 Greenfield Ridge Cir, Brandon, MS 39042-7025 2020-10-24
1659981181 Anchoring Hearts Healthcare LLC Nursing Care 730 Ridgewood Rd Ste A, Ridgeland, MS 39157-4434 2020-08-10
1588282941 Anchoring Hearts Healthcare Nursing Care 308 Belvedere Dr, Pearl, MS 39208-8916 2020-07-11
1912539149 Tih Services LLC Nursing Care 1246 Beverly Hills Rd Apt 207, Hattiesburg, MS 39401-4464 2020-02-05
1629608831 Collins Home Care LLC Nursing Care 305 Turny Cv, Brandon, MS 39042-7007 2020-01-16
1417424391 Optimal Wellness 365 LLC Nursing Care 4375 Highway 51 N Apt 25-201, Horn Lake, MS 38637-8720 2018-10-29
1679040729 Karis Staffing Agency Nursing Care 2068 Smyrna Rd, Hazlehurst, MS 39083-9049 2018-10-26
1568938447 Trusting Loyal Caring Tlc Homemakers Service Nursing Care 59 Noblin Road, Cleveland, MS 38732-9571 2018-10-18
1700378965 Southern Medical Solutions Nursing Care 186 Burris Rd Se, Mc Call Creek, MS 39647-5295 2018-06-04
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Competitor

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City MADISON
Zip Code 39110

Improve Information

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Dataset Information

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.

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