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Contact Information

PREMIER HOME HEALTH AGENCY
3555 WESTERN AVE
KINGMAN, AZ86409
 Phone: 928-377-1004
 Fax: 928-757-7179
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for PREMIER HOME HEALTH AGENCY

NPI Number 1003219007
LBN Legal business name PREMIER HOME HEALTH AGENCY
Authorized official HEATHER BLANCHART - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2014
Last updated 06/30/2015 - About 11 years ago
Identifiers
AZ License # HHA6631
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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