PREMIER CLA
NPI 1205100591
Home Health in Palmetto, GA

Active since March 04, 2012
8025 WILKERSON LN, PALMETTO, GA 30268(404) 819-9665(678) 624-6030 Get Directions Write a Review

NPPES record last updated: August 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premier Cla NPPES

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

PREMIER CLA (NPI 1205100591) is a healthcare organization registered as a home health in Palmetto, Georgia and active in the NPI registry since March 2012. The organization lists Lisa Yvonne Bradshaw-small, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205100591
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePREMIER PERSONAL HEALTH SERVICES, LLC
Location Address8025 WILKERSON LNPalmetto, GA 30268-8626
Mailing Address6269 Greenock DrStone Mountain, GA 30087-6081 · (404) 819-9665 · Fax (866) 624-6594
Fax(678) 624-6030
Organization SubpartNo
Authorized OfficialLisa Yvonne Bradshaw-smallCeo · (404) 819-9665
Enumeration DateMarch 4, 2012
Last NPPES UpdateAugust 12, 2012
NPI 1205100591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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.
Also ListedNursing CareTaxonomy 251J00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
8025 WILKERSON LN, Palmetto, GA 30268

Other Names 1

Doing Business AsPremier Cla

Other Identifiers 1

Medicaid003112727AGA

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 Personal Health Services, LLC's NPI number?

The NPI number for Premier Personal Health Services, LLC is 1205100591. It was assigned to this organization in the NPPES registry on March 4, 2012. The provider is doing business as Premier Cla.

Where is Premier Personal Health Services, LLC located?

Premier Personal Health Services, LLC is located at 8025 Wilkerson Ln, Palmetto, GA 30268. The listed phone number is (404) 819-9665.

What is Premier Personal Health Services, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Premier Personal Health Services, LLC was last updated on August 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.