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PREMIER HEALTHCARE SERVICES, LLC
NPI 1902035876
Home Health in San Bernardino, CA

Active since July 13, 2009CLIA 05D2005684 · Waiver
650 E HOSPITALITY LN, STE. 100, SAN BERNARDINO, CA 92408(909) 890-0448(909) 890-0449 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 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 1902035876), doing business as Aveanna Healthcare, is a healthcare organization registered as a home health in San Bernardino, California and active in the NPI registry since July 2009. The organization holds a CLIA Waiver certificate valid through March 31, 2028 and lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1902035876
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePREMIER HEALTHCARE SERVICES, LLC
Location Address650 E HOSPITALITY LN, STE. 100San Bernardino, CA 92408-3535
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192
Phone(909) 890-0448
Fax(909) 890-0449
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateJuly 13, 2009
Last NPPES UpdateJanuary 28, 2025
NPPES CertifiedJanuary 28, 2025
✔ NPI 1902035876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in CA · 550001286
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.
650 E HOSPITALITY LN, San Bernardino, CA 92408
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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 05D2005684

Premier Healthcare Services, LLC , · San Bernardino, CA
Active · expires Mar 31, 2028
CLIA Number05D2005684
Laboratory TypeHome Health Agency
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorRoss Miller, MD
Laboratory Phone(909) 890-0448
Laboratory LocationPremier Healthcare Services, LLC ,650 E Hospitality Ln Ste 100, San Bernardino, CA 92408
CLIA data matches this NPI record on: Address Name Phone
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 059323), from CMS Care Compare.

Aveanna Healthcare

Home health agency · San Bernardino, CA
OwnershipProprietary
CMS Certification Number059323
Medicare-Certified SinceJanuary 20, 2011
Phone(909) 890-0448
Services Offered
Skilled nursing care Medical social services Home health aide services

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 1902035876. It was assigned to this organization in the NPPES registry on July 13, 2009. The provider is doing business as Aveanna Healthcare.

Where is Premier Healthcare Services, LLC located?

Premier Healthcare Services, LLC is located at 650 E Hospitality Ln Ste. 100, San Bernardino, CA 92408. The listed phone number is (909) 890-0448.

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 05D2005684) is associated with this NPI, valid through March 31, 2028. 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 January 20, 2011.

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.