Organization · Type 2 NPI

Premier Personal Health Services, LLC

Nursing Care Agency · Stone Mountain, GA

NPI number 1821354630 Active

Practice location

6269 Greenock Dr
Stone Mountain, GA 30087-6081

Fax (678) 825-6030

Specialties and licenses

Taxonomy	Code	License
Nursing Care Agency Primary	251J00000X	None listed
Community/Behavioral Health Agency	251S00000X	None listed
In Home Supportive Care Agency	253Z00000X	None listed

Nursing Care Agency: 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.

Another provider at this address

Lisa Yvonne Bradshaw-Small, APRN, BCFamily Nurse Practitioner Stone Mountain, GA NPI 1043330301

Other nursing care agency providers in Stone Mountain

See all in Stone Mountain →

NPI record

NPI: 1821354630
Entity type: Organization (Type 2)
Issued: Apr 5, 2012
Last updated: Apr 5, 2012
Status: Active
Subpart: Yes of Premier Personal Health Services, LLC

Other names

<unavail>
Premier Private Home Care Agency · doing business as

Authorized official

Mrs. Lisa Yvonne Bradshaw-Small, APRN, BC
CEO
(866) 447-4547

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1821354630

Premier Personal Health Services, LLC's National Provider Identifier is 1821354630, issued on Apr 5, 2012. The primary taxonomy on file is Nursing Care Agency (251J00000X), and the practice location is in Stone Mountain, GA. The record was last updated on Apr 5, 2012.