Provider Demographics
NPI:1538344494
Name:PREMIER HEALTH CARE
Entity type:Organization
Organization Name:PREMIER HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-524-0123
Mailing Address - Street 1:1001 S CATHERINE ST
Mailing Address - Street 2:
Mailing Address - City:TERRELL
Mailing Address - State:TX
Mailing Address - Zip Code:75160-4517
Mailing Address - Country:US
Mailing Address - Phone:972-524-0123
Mailing Address - Fax:972-524-0170
Practice Address - Street 1:1001 S CATHERINE ST
Practice Address - Street 2:
Practice Address - City:TERRELL
Practice Address - State:TX
Practice Address - Zip Code:75160-4517
Practice Address - Country:US
Practice Address - Phone:972-524-0123
Practice Address - Fax:972-524-0170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-09
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010484251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679392OtherMEDICARE HOME HEALTH PROV
TX679392OtherMEDICARE HOME HEALTH PROV