Premier Cla
LBN: Premier Personal Health Services, Llc
Premier Cla is an health care organization with primary practice located at 8025 Wilkerson Ln , Palmetto GA 30268-8626. The organization recently has 3 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Nursing Care, Agencies / Community/Behavioral Health. Agencies / Home Health is the primary health care specialty.
Premier Personal Health Services, Llc can be contacted via phone (404) 819-9665, or through Bradshaw-Small, Lisa Yvonne via phone (404) 819-9665.
Contact Information
Primary practice address
8025 Wilkerson Ln
Palmetto GA 30268-8626
Phone: (404) 819-9665
Fax: (678) 624-6030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | ||
| Agencies / Nursing Care | 251J00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1205100591 |
|---|---|
| LBN Legal business name | Premier Personal Health Services, Llc |
| DBA Doing business as | Premier Cla |
| Authorized official | Bradshaw-Small, Lisa Yvonne APRN-BC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 4th, 2012 |
| Last updated | Aug 12th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205100591 | NPPES |
| Georgia | MEDICAID | 003112727A |
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