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PREMIER HEALTHCARE SERVICES, LLC
NPI 1295159366
Home Health in Victorville, CA

Active since February 10, 2014CLIA 05D2078281 · Waiver
12401 HESPERIA RD STE 8, VICTORVILLE, CA 92395(888) 720-3826(888) 712-3057 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 16, 2020, Mar 17, 2018, Nov 30, 2017 (3 updates tracked since 2017).

About Premier Healthcare Services, Llc NPPES

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

PREMIER HEALTHCARE SERVICES, LLC (NPI 1295159366), doing business as Aveanna Healthacare, is a healthcare organization registered as a home health in Victorville, California and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through May 22, 2028 and lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1295159366
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePREMIER HEALTHCARE SERVICES, LLC
Location Address12401 HESPERIA RD STE 8Victorville, CA 92395-5844
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192
Phone(888) 720-3826
Fax(888) 712-3057
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateFebruary 10, 2014
Last NPPES UpdateJanuary 28, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2025
✔ NPI 1295159366 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.
12401 HESPERIA RD STE 8, Victorville, CA 92395
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Other Names 1

Doing Business AsAveanna Healthacare

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 05D2078281

Premier Healthcare Services LLC · Victorville, CA
Active · expires May 22, 2028
CLIA Number05D2078281
Laboratory TypeHome Health Agency
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorRoss Miller
Laboratory Phone(442) 300-9788
Laboratory LocationPremier Healthcare Services LLC12401 Hesperia Rd, Ste 8, Victorville, CA 92395
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 1295159366. It was assigned to this organization in the NPPES registry on February 10, 2014. The provider is doing business as Aveanna Healthacare.

Where is Premier Healthcare Services, LLC located?

Premier Healthcare Services, LLC is located at 12401 Hesperia Rd Ste 8, Victorville, CA 92395. The listed phone number is (888) 720-3826.

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 05D2078281) is associated with this NPI, valid through May 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.