Premier Healthcare Services, LLC
Home Health in Victorville, CA. Organization (NPI-2).
NPI number1295159366
StatusActive
Last updated in NPPESJan 28, 2025
Details
- NPI
- 1295159366
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Healthcare Services, LLC
- Organization subpart
- No
- Enumeration date
- Feb 10, 2014
- Certification date
- Jan 28, 2025
- Last updated
- Jan 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Other names
- Aveanna Healthacare (Doing Business As)
Practice location
12401 Hesperia Rd Ste 8Victorville, CA 92395-5844
Phone 888-720-3826 · Fax 888-712-3057
Mailing address
400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047
Phone 470-464-8000 · Fax 770-248-8192
Authorized official
Matthew Buckhalter
Cfo
4704648000
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