PREMIER HEALTHCARE SERVICES, LLC (NPI# 1801205075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801205075 |
| Entity Type | Organization |
| Organization Name | PREMIER HEALTHCARE SERVICES, LLC |
| Practice Address |
3 Waters Park Dr Suite 225 San Mateo CA 94403-1160 |
| Mailing Address |
790 E Colorado Blvd Suite 850 Pasadena CA 91101-2113 |
| Practice Telephone | 6502424332 |
| Practice Fax Number | 8553390135 |
| Mailing Telephone | 6262047930 |
| Mailing Fax Number | 6262047950 |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |
| Authorized Official Name | JOSEPH MALLINGER (OWNER) |
| Authorized Official Telephone | 6262047930 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | CA | Agencies |
| 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 |
3 WATERS PARK DR SUITE 225 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94403-1160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023189578 | Linda Bencangey Goldstein | Marriage & Family Therapist | 3 Waters Park Dr, Suite 233, San Mateo, CA 94403-1160 | 2006-11-13 |
| 1114186319 | Dan Yang | Psychiatry & Neurology | 3 Waters Park Dr, Suite 224, San Mateo, CA 94403-1160 | 2008-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710520903 | Happy Enerqi LLC | Acupuncturist | 5 43rd Ave, San Mateo, CA 94403 | 2019-10-21 |
| 1740840396 | Vincent Wing Ching Fong | Marriage & Family Therapist | 2600 S. El Camino Real Suite 200, San Mateo, CA 94403 | 2019-06-17 |
| 1861056426 | Denise Gaytan | Licensed Vocational Nurse | 2600 El Camino, San Mateo, CA 94403 | 2019-04-29 |
| 1134686991 | Connie Markoff | Counselor | 3827 Fernwood St, San Mateo, CA 94403 | 2019-02-27 |
| 1467965392 | Happyqi Inc | Acupuncturist | 5 43rd Ave., San Mateo, CA 94403 | 2017-11-14 |
| 1710403092 | John Luu | Chiropractor | 3153 Campus Dr, San Mateo, CA 94403 | 2017-08-17 |
| 1477009033 | Latifunisa Lilani | Community Health Worker | 2600 El Camino Real, San Mateo, CA 94403 | 2016-09-01 |
| 1881029874 | Juan Carlos Friesen | Licensed Vocational Nurse | 2600 S. El Camino, Suite #200, San Mateo, CA 94403 | 2013-09-09 |
| 1619300423 | Emily Rodda | Nurse Practitioner | 222 W. 39th Avenue, San Mateo Medical Center - Pediatric Clinic, San Mateo, CA 94403 | 2013-08-15 |
| 1619309549 | Maria Lucila Echeverria-bustios | Counselor | 1911 Ivy St., San Mateo, CA 94403 | 2013-08-02 |
| Find all providers in zip 94403 | ||||
| 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 |
|---|---|---|---|---|
| 1801403506 | Caresource Health LLC | Home Health | 1528 S El Camino Real Ste 108, San Mateo, CA 94402-3067 | 2020-09-26 |
| 1871013920 | Agility Health | Home Health | 1660 S Amphlett Blvd Ste 116, San Mateo, CA 94402-2507 | 2017-06-20 |
| 1750750600 | Careway Healthcare Inc | Home Health | 161 W 25th Ave Ste 206, San Mateo, CA 94403-2284 | 2015-09-22 |
| 1679970024 | Bay Pioneers, LLC | Home Health | 1700 S Amphlett Blvd Ste 200, San Mateo, CA 94402-2717 | 2014-12-01 |
| 1083972665 | Zimmerman Homecare Group, Inc. | Home Health | 4 W 4th Ave Ste 201, San Mateo, CA 94402-1617 | 2012-05-02 |
| 1952688699 | Mctiernan Home Care, Inc. | Home Health | 4 West 4th Ave, San Mateo, CA 94402 | 2011-11-09 |
| 1689993669 | Carepoint Home Health Inc. | Home Health | 1840 Gateway Dr Ste 200, San Mateo, CA 94404-4029 | 2010-05-29 |
| 1972681195 | Ageless Home Health Care | Home Health | 10 De Sabla Rd, Unit 1101, San Mateo, CA 94402-1273 | 2006-11-02 |
| 1417054867 | Maxim Healthcare Services, Inc. | Home Health | 1900 Alameda De Las Pulgas, San Mateo, CA 94403-1222 | 2006-09-20 |
| 1821027624 | Sutter Visiting Nurse Association and Hospice | Home Health | 1700 S Amphlett Blvd, Ste 300, San Mateo, CA 94402-2726 | 2006-07-02 |
| Find all providers in SAN MATEO | ||||
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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.