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PREMIER HEALTHCARE SERVICES, LLC
NPI 1811238967
Home Health in Palmdale, CA

Active since March 13, 2013CLIA 05D2064595 · Waiver
40015 SIERRA HWY, SUITE B-180, PALMDALE, CA 93550(626) 204-7930(626) 204-7950 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 1811238967), doing business as Aveanna Healthcare, is a healthcare organization registered as a home health in Palmdale, California and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through August 21, 2027 and lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1811238967
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePREMIER HEALTHCARE SERVICES, LLC
Location Address40015 SIERRA HWY, SUITE B-180Palmdale, CA 93550-2101
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192
Phone(626) 204-7930
Fax(626) 204-7950
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateMarch 13, 2013
Last NPPES UpdateJanuary 28, 2025
NPPES CertifiedJanuary 28, 2025
✔ NPI 1811238967 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.
40015 SIERRA HWY, Palmdale, CA 93550
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 05D2064595

Premier Healthcare Services, LLC Dba Aveanna Healthcare · Palmdale, CA
Active · expires Aug 21, 2027
CLIA Number05D2064595
Laboratory TypeHome Health Agency
Certificate Effective DateAugust 22, 2025
Certificate Expiration DateAugust 21, 2027
Laboratory DirectorRoss Miller, MD
Laboratory Phone(661) 237-3875
Laboratory LocationPremier Healthcare Services, LLC Dba Aveanna Healthcare40015 Sierra Hwy Ste B-180, Palmdale, CA 93550
CLIA data matches this NPI record on: Address Name
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 059762), from CMS Care Compare.

Aveanna Healthcare

Home health agency · Palmdale, CA
OwnershipProprietary
CMS Certification Number059762
Medicare-Certified SinceMay 6, 2016
Phone(661) 237-3875
Services Offered
Skilled nursing care Medical social services Home health aide services

Other Providers at the Same Location NPPES 11

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

MELISSA DE LEON
Day Training/Habilitation Specialist
40015 SIERRA HWY
PALMDALE, CA 93550
Los Angeles County (661) 526-4969
WILLIAM HARWELL
Community Health Worker
40015 SIERRA HWY
PALMDALE, CA 93550
Los Angeles County (661) 583-6371
SAMANTHA MAYBON
Marriage & Family Therapist
40015 SIERRA HWY
PALMDALE, CA 93550
Los Angeles County (661) 526-5061
E'JYPT LEWIS
Marriage & Family Therapist
40015 SIERRA HWY
PALMDALE, CA 93550
Los Angeles County (424) 777-3404
MR. CLARENCE VAN HARRIS JR.
Case Manager/Care Coordinator
40015 SIERRA HWY
PALMDALE, CA 93550
Los Angeles County (661) 526-5061
CHANDRA EVETTEMARIE BROOKS
Case Manager/Care Coordinator
40015 SIERRA HWY
PALMDALE, CA 93550
Los Angeles County (661) 526-5061
MS. CORINA M LARA
Day Training/Habilitation Specialist
40015 SIERRA HWY
PALMDALE, CA 93550
Los Angeles County (661) 526-5061
MRS. EBONY M BROOKS
Day Training/Habilitation Specialist
40015 SIERRA HWY
PALMDALE, CA 93550
Los Angeles County (626) 624-7394

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 1811238967. It was assigned to this organization in the NPPES registry on March 13, 2013. The provider is doing business as Aveanna Healthcare.

Where is Premier Healthcare Services, LLC located?

Premier Healthcare Services, LLC is located at 40015 Sierra Hwy Suite B-180, Palmdale, CA 93550. The listed phone number is (626) 204-7930.

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 05D2064595) is associated with this NPI, valid through August 21, 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 May 6, 2016.

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.