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PREMIER HEALTHCARE SERVICES, LLC
NPI 1114246816
Home Health in San Jose, CA

Active since May 20, 2010CLIA 05D2019019 · Waiver
950 S BASCOM AVE, SUITE 3113, SAN JOSE, CA 95128(408) 288-6700(888) 240-1159 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 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 1114246816), doing business as Aveanna Healthcare, is a healthcare organization registered as a home health in San Jose, California and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through January 19, 2027 and lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1114246816
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePREMIER HEALTHCARE SERVICES, LLC
Location Address950 S BASCOM AVE, SUITE 3113San Jose, CA 95128-3536
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000
Phone(408) 288-6700
Fax(888) 240-1159
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateMay 20, 2010
Last NPPES UpdateJanuary 28, 2025
NPPES CertifiedJanuary 28, 2025
✔ NPI 1114246816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in CA · 550002023
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.
950 S BASCOM AVE, San Jose, CA 95128
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 05D2019019

Premier Healthcare Services, LLC · San Jose, CA
Active · expires Jan 19, 2027
CLIA Number05D2019019
Laboratory TypeHome Health Agency
Certificate Effective DateJanuary 20, 2025
Certificate Expiration DateJanuary 19, 2027
Laboratory DirectorRoss Miller MD
Laboratory Phone(408) 288-6700
Laboratory LocationPremier Healthcare Services, LLC950 S Bascom Ave Ste 3113, San Jose, CA 95128
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 059526), from CMS Care Compare.

Aveanna Healthcare

Home health agency · San Jose, CA
OwnershipProprietary
CMS Certification Number059526
Medicare-Certified SinceOctober 9, 2013
Phone(408) 288-6700
Services Offered
Skilled nursing care Medical social services Home health aide services

Other Providers at the Same Location NPPES 7

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

ELINOR SLAYER LMFT
Marriage & Family Therapist
950 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 341-9222
LWF HOME CARE INC.
Home Health
950 S BASCOM AVE, SUITE 2007
SAN JOSE, CA 95128
Santa Clara County (408) 358-7779
MR. GEOFF JULIAN NUGENT JR. PH.D.
Marriage & Family Therapist
950 S BASCOM AVE, SUITE 2005
SAN JOSE, CA 95128
Santa Clara County (408) 903-6425
MS. MARITZA LIZZETH NORIEGA
Marriage & Family Therapist
950 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 471-4261
MS. LISA BREAKEY MA
Speech-Language Pathologist
950 S BASCOM AVE, SUITE 1113
SAN JOSE, CA 95128
Santa Clara County (408) 297-9740
LAURA KHOURY PH.D.
Psychologist (Clinical)
950 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 883-9696
JENNY MCCRACKEN
Marriage & Family Therapist
950 S BASCOM AVE, ES 123
SAN JOSE, CA 95128
Santa Clara County (408) 759-5615

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 1114246816. It was assigned to this organization in the NPPES registry on May 20, 2010. The provider is doing business as Aveanna Healthcare.

Where is Premier Healthcare Services, LLC located?

Premier Healthcare Services, LLC is located at 950 S Bascom Ave Suite 3113, San Jose, CA 95128. The listed phone number is (408) 288-6700.

What is Premier Healthcare Services, LLC's specialty?

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

Does Premier Healthcare Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2019019) is associated with this NPI, valid through January 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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

Yes. Aveanna Healthcare is a Medicare-certified home health agency, certified since October 9, 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.