1. Home
  2. Directory
  3. California
  4. West Covina
  5. Home Health
  6. NPI Profile

PREMIER HEALTHCARE SERVICES, LLC
NPI 1104058122
Home Health in West Covina, CA

Active since August 10, 2009
1730 W CAMERON AVE, SUITE 120, WEST COVINA, CA 91790(626) 337-3444(626) 389-2168 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Premier Healthcare Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER HEALTHCARE SERVICES, LLC (NPI 1104058122), doing business as Aveanna Healthcare, is a healthcare organization registered as a home health in West Covina, California and active in the NPI registry since August 2009. The organization lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104058122
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePREMIER HEALTHCARE SERVICES, LLC
Location Address1730 W CAMERON AVE, SUITE 120West Covina, CA 91790-2722
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192
Phone(626) 337-3444
Fax(626) 389-2168
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateAugust 10, 2009
Last NPPES UpdateJanuary 28, 2025
NPPES CertifiedJanuary 28, 2025
✔ NPI 1104058122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
1730 W CAMERON AVE, West Covina, CA 91790
Open in Google Maps ↗

Other Names 1

Doing Business AsAveanna Healthcare

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2044647

Premier Healthcare Services LLC · West Covina, CA
Expired · Jul 26, 2026
CLIA Number05D2044647
Laboratory TypeHome Health Agency
Certificate Effective DateJuly 27, 2024
Certificate Expiration DateJuly 26, 2026
Laboratory DirectorRoss Miller MD
Laboratory Phone(626) 337-3444
Laboratory LocationPremier Healthcare Services LLC1730 W Cameron Ave Ste 120, West Covina, CA 91790
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Aveanna Healthcare (CMS certification number 059560), from CMS Care Compare.

Aveanna Healthcare

Home health agency · West Covina, CA
OwnershipProprietary
CMS Certification Number059560
Medicare-Certified SinceJune 28, 2013
Phone(626) 337-3444
Services Offered
Skilled nursing care Medical social services Home health aide services

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYLA LI ZHAO
Marriage & Family Therapist
1730 W CAMERON AVE
WEST COVINA, CA 91790
Los Angeles County (323) 910-0655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Healthcare Services, LLC's NPI number?

The NPI number for Premier Healthcare Services, LLC is 1104058122. It was assigned to this organization in the NPPES registry on August 10, 2009. The provider is doing business as Aveanna Healthcare.

Where is Premier Healthcare Services, LLC located?

Premier Healthcare Services, LLC is located at 1730 W Cameron Ave Suite 120, West Covina, CA 91790. The listed phone number is (626) 337-3444.

What is Premier Healthcare Services, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Is Premier Healthcare Services, LLC a Medicare-certified home health agency?

Yes. Aveanna Healthcare is a Medicare-certified home health agency, certified since June 28, 2013.

When was this NPI record last updated?

The NPPES record for Premier Healthcare Services, LLC was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.