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Contact Information

PREMIER HOME CARE, INC
404 S MAYO TRL
STE 9
PIKEVILLE, KY41501
 Phone: 606-437-5562
 Fax: 606-437-5527
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for PREMIER HOME CARE, INC

NPI Number 1083625156
LBN Legal business name PREMIER HOME CARE, INC
Authorized official WENDY RUSSALESI - (CCO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/11/2006
Last updated 12/29/2025 - About 5 months ago
Identifiers
KY Medicaid 7100035190
KY Other 000000506316 ANTHEM ID
KY Other 400030 BLACK LUNG
KY Other MG0571 KENTUCKY BOARD OF PHARMACY LICENSE
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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