PREMIER PERSONAL HEALTH SERVICES, LLC (NPI# 1821354630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821354630 |
| Entity Type | Organization |
| Organization Name | PREMIER PERSONAL HEALTH SERVICES, LLC |
| Other Organization Name | PREMIER PRIVATE HOME CARE AGENCY |
| Practice Address |
6269 Greenock Dr Stone Mountain GA 30087-6081 |
| Practice Telephone | 8664464547 |
| Practice Fax Number | 6788256030 |
| Mailing Telephone | 8664464547 |
| Mailing Fax Number | 6788256030 |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |
| Authorized Official Name | MRS. LISA YVONNE BRADSHAW-SMALL (CEO) |
| Authorized Official Telephone | 8664474547 |
| Authorized Official Credential | APRN, BC |
| Is Organization Subpart | Y |
| Parent Organization Name | PREMIER PERSONAL HEALTH SERVICES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 251J00000X | Nursing Care | Agencies |
| Other Name | Type Code |
|---|---|
| Premier Private Home Care Agency | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205100591 | Premier Personal Health Services, LLC | Community/Behavioral Health | 8025 Wilkerson Ln, Palmetto, GA 30268-8626 | 2012-03-04 |
| Street Address |
6269 GREENOCK DR |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30087-6081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043330301 | Lisa Yvonne Bradshaw-small | Registered Nurse | 6269 Greenock Dr, Stone Mountain, GA 30087-6081 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
| 1245882943 | Lynell Williams | Counselor | 505 Lilburn-stone Mountain Road, Suite 235, Stone Mountain, GA 30087 | 2019-07-12 |
| 1003302688 | Mark Andrew Stevens | Physical Therapist | 1227 Rockbridge Rd Ste 402, Stone Mountain, GA 30087 | 2018-07-06 |
| 1154816825 | Tuan Minh Khong | Physician Assistant | 6301 Southland Rdg, Stone Mountain, GA 30087 | 2018-06-26 |
| 1215429881 | Stephanie Martin | Nurse Practitioner | 2720 S Rockbridge Rd, Stone Mountain, GA 30087 | 2018-05-30 |
| 1578979381 | Edmund Thomas Jr. | Dentist | 2536 Rockbridge Rd Ste 103, Stone Mountain, GA 30087 | 2014-07-02 |
| 1790027688 | Robert Fanning Eaves Jr. | General Practice | 5394 Leatherstocking Lane, Stone Mountain, GA 30087 | 2013-03-19 |
| 1609128917 | Mary Marlene Muse | Lactation Consultant, Non-RN | 510 Navarre Drive, Stone Mountain, GA 30087 | 2012-10-10 |
| 1457680704 | Cleo Evans | Counselor | 5638 Manassas Run, Stone Mountain, GA 30087 | 2009-12-16 |
| 1932348521 | Lawrence Randy Sheber | Dentist | 5500-a Lilburn Stone Mountain Road, Stone Mountain, GA 30087 | 2009-02-05 |
| Find all providers in zip 30087 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669770087 | Home Healthcare/cpr Services | Nursing Care | 805 Mountain Oaks Pkwy, Stone Mountain, GA 30087-4744 | 2011-03-09 |
| 1043479611 | Tender Care Services, LLC | Nursing Care | 1166 Hunters Dr, Stone Mountain, GA 30083-2552 | 2008-06-08 |
| 1457428229 | Precise Healthcare Solutions | Nursing Care | 5300 Memorial Dr, Suite 134, Stone Mountain, GA 30083-3148 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800115 | Recarlo King | Nursing Care | 1863 Clay Rd Sw, Mableton, GA 30126-1100 | 2020-10-27 |
| 1205435575 | Angelic Touch Cares, LLC | Nursing Care | 1705 Bertram Ln Sw, Marietta, GA 30008-4141 | 2020-10-19 |
| 1730787136 | Lucienne Home Care LLC | Nursing Care | 2407 Hi Roc Rd Ne, Conyers, GA 30012-2541 | 2020-10-16 |
| 1609482793 | Express Yourself, LLC | Nursing Care | 5141 Wellsley Bnd, Alpharetta, GA 30005-5067 | 2020-09-23 |
| 1952917106 | Chosen Healthcare Services, LLC | Nursing Care | 818 Panola Rd, Ellenwood, GA 30294-3034 | 2020-09-22 |
| 1578179313 | Standard Homecare of Augusta,llc | Nursing Care | 4583 Coldwater St, Grovetown, GA 30813-4065 | 2020-09-17 |
| 1033724638 | Jennifer Melton | Nursing Care | 1888 Hollywood Rd Nw Unit 7401, Atlanta, GA 30318-3206 | 2020-09-10 |
| 1710591425 | Sharon Mckenzie | Nursing Care | 2203 Cumberland Pkwy Se Unit 401, Atlanta, GA 30339-4513 | 2020-09-01 |
| 1831703636 | Uniqueangleshomecareservices | Nursing Care | 257 Maner Ter Se, Atlanta, GA 30339-1930 | 2020-08-31 |
| 1235741489 | Saegcyhealthcare | Nursing Care | 1301 Westwood Dr Apt G, Albany, GA 31721-6237 | 2020-08-19 |
| Find all providers with the same taxonomy | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30087 |
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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.