Provider Demographics
NPI:1548538960
Name:PREMIER NURSING LLC HOME HEALTH SERVICE
Entity type:Organization
Organization Name:PREMIER NURSING LLC HOME HEALTH SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN/CFO
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:A
Authorized Official - Last Name:STOVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-433-1856
Mailing Address - Street 1:1515 S BREIEL BLVD STE A-2
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45044-6701
Mailing Address - Country:US
Mailing Address - Phone:513-433-1856
Mailing Address - Fax:513-433-1858
Practice Address - Street 1:1515 S BREIEL BLVD STE A-2
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-6701
Practice Address - Country:US
Practice Address - Phone:513-433-1856
Practice Address - Fax:513-433-1858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-13
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health