PREMIER HEALTHCARE SERVICES, LLC
NPI 1790198968
Home Health in Modesto, CA

Active since June 05, 2014CLIA 05D2085484 · Waiver
2937 VENEMAN AVE, SUITE A-100, MODESTO, CA 95356(209) 408-1344(855) 308-3080 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 19, 2020, Feb 11, 2019 (2 updates tracked since 2019).

About Premier Healthcare Services, Llc NPPES

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

PREMIER HEALTHCARE SERVICES, LLC (NPI 1790198968), doing business as Aveanna Healthcare, is a healthcare organization registered as a home health in Modesto, California and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through October 14, 2026 and lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1790198968
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePREMIER HEALTHCARE SERVICES, LLC
Location Address2937 VENEMAN AVE, SUITE A-100Modesto, CA 95356-0638
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192
Fax(855) 308-3080
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateJune 5, 2014
Last NPPES UpdateJanuary 28, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2025
NPI 1790198968 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.

2937 VENEMAN AVE, Modesto, CA 95356

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 05D2085484

Premier Healthcare Services, LLC · Modesto, CA
Active · expires Oct 14, 2026
CLIA Number05D2085484
Laboratory TypeHome Health Agency
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorRoss Miller, MD
Laboratory Phone(209) 408-1344
Laboratory LocationPremier Healthcare Services, LLC2937 Veneman Ave Ste A-100, Modesto, CA 95356
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Marriage & Family Therapist
2937 VENEMAN AVE, # A117
MODESTO, CA 95356
Marriage & Family Therapist
2937 VENEMAN AVE, SUITE B250/B255
MODESTO, CA 95356
Dentist
2937 VENEMAN AVE, SUITE 201A
MODESTO, CA 95356

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 1790198968. It was assigned to this organization in the NPPES registry on June 5, 2014. The provider is doing business as Aveanna Healthcare.

Where is Premier Healthcare Services, LLC located?

Premier Healthcare Services, LLC is located at 2937 Veneman Ave Suite A-100, Modesto, CA 95356. The listed phone number is (209) 408-1344.

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 05D2085484) is associated with this NPI, valid through October 14, 2026. 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 with the weekly NPPES data releases published by CMS.