Provider Demographics
NPI:1871789230
Name:PREMIER HOME HEALTH INC
Entity type:Organization
Organization Name:PREMIER HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFONSO
Authorized Official - Middle Name:GUILLERMO
Authorized Official - Last Name:ALINO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:702-844-0316
Mailing Address - Street 1:6843 W CHARLESTON BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-1646
Mailing Address - Country:US
Mailing Address - Phone:702-804-0600
Mailing Address - Fax:704-804-0900
Practice Address - Street 1:6843 W CHARLESTON BLVD
Practice Address - Street 2:STE A
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-1646
Practice Address - Country:US
Practice Address - Phone:702-804-0600
Practice Address - Fax:704-804-0900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
NV4859HHA-6251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health