PREMIER PRIVATE HOME CARE AGENCY
NPI 1821354630
Nursing Care in Stone Mountain, GA

NPI Status: Active since April 05, 2012

Contact Information

6269 GREENOCK DR
STONE MOUNTAIN, GA
ZIP 30087
Phone: (866) 446-4547
Fax: (678) 825-6030

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  • Organization
  • Nursing Care

About PREMIER PRIVATE HOME CARE AGENCY

This page provides the complete NPI Profile along with additional information for Premier Private Home Care Agency, a provider established in Stone Mountain, Georgia operating as a Nursing Care. The healthcare provider is registered in the NPI registry with number 1821354630 assigned on April 2012. The practitioner's primary taxonomy code is 251J00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Premier Private Home Care Agency. The authorized official of this NPI record is Mrs. Lisa Yvonne Bradshaw-small Aprn, Bc (Ceo)

NPI
1821354630
Provider Legal Name
PREMIER PERSONAL HEALTH SERVICES, LLC
Other Organization Name
PREMIER PRIVATE HOME CARE AGENCY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6269 GREENOCK DR STONE MOUNTAIN, GA 30087
Location Phone
(866) 446-4547
Location Fax
(678) 825-6030
Mailing Address
6269 GREENOCK DR STONE MOUNTAIN, GA 30087
Mailing Phone
(866) 446-4547
Mailing Fax
(678) 825-6030
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-05-2012
Last Update Date
04-05-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nursing Care

Taxonomy Code
251J00000X
Type
Agencies
Taxonomy Description
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251S00000XAgencies

Community/Behavioral Health

 
2253Z00000XAgencies

In Home Supportive Care

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. LISA YVONNE BRADSHAW-SMALL APRN, BC

Authorized Official Title
CEO
Authorized Official Phone
(866) 447-4547

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1821354630
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
284165866
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 6 + 5 + 8 + 6 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1821354630 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

MRS. LISA YVONNE BRADSHAW-SMALL APRN, BC

Nurse Practitioner

(Family)

6269 GREENOCK DR
STONE MOUNTAIN, GA
ZIP 30087

(404) 819-9665

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821354630, enumerated in the NPI registry as an "organization" on April 05, 2012

The provider is located at 6269 Greenock Dr Stone Mountain, Ga 30087 and the phone number is (866) 446-4547

This medical organization specializes in Nursing Care with taxonomy code 251J00000X

This NPI record was last updated on April 05, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.