Premier Personal Care Agency Llc

LBN: Premier Personal Care Agency Llc
Premier Personal Care Agency Llc is an health care organization with primary practice located at 10520 W Bluemound Rd Ste 105 Suite #105, Wauwatosa WI 53226-4484. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Premier Personal Care Agency Llc can be contacted via phone (414) 231-3277, or through Kalama, Racheal via phone (414) 628-2774.

Contact Information

Primary practice address
10520 W Bluemound Rd Ste 105 Suite #105 Wauwatosa WI 53226-4484
Fax: (414) 231-3172
Website:
Authorized official contact:
Name: Kalama, Racheal PHD

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1912538679
LBN Legal business name Premier Personal Care Agency Llc
DBA Doing business as
Authorized official Kalama, Racheal PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2020
Last updated Jan 31st, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912538679 NPPES
Wisconsin MEDICAID 100095822

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