Provider Demographics
NPI:1538945084
Name:PREMIERE HEALTHCARE AND CONCIERGE SERVICES LLC
Entity type:Organization
Organization Name:PREMIERE HEALTHCARE AND CONCIERGE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SERINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-613-1109
Mailing Address - Street 1:1557 BUFORD DR UNIT 490683
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-3718
Mailing Address - Country:US
Mailing Address - Phone:678-265-2992
Mailing Address - Fax:
Practice Address - Street 1:1557 BUFORD DR UNIT 490683
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-3718
Practice Address - Country:US
Practice Address - Phone:678-265-2992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health