Provider Demographics
NPI:1841181716
Name:A-1 PREMIER CARE INC
Entity type:Organization
Organization Name:A-1 PREMIER CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PD
Authorized Official - Prefix:MR
Authorized Official - First Name:LIVAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:DIAZ PADRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-469-3324
Mailing Address - Street 1:925 NE 30TH TER SUITE 202
Mailing Address - Street 2:9TH FLOOR
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033
Mailing Address - Country:US
Mailing Address - Phone:954-469-3324
Mailing Address - Fax:
Practice Address - Street 1:925 NE 30TH TER STE 202
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-7614
Practice Address - Country:US
Practice Address - Phone:954-469-3324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-10
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center