# PREMIER HOME CARE 1 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DJP and JPB Management Inc, Amada Senior Care of Bentonville AR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063227528
- **Authorized official:** DAKOTA JAMES PRUITT (OWNER)
- **Authorized official phone:** (918) 851-4334

## Contact information

- **Practice address:** 600 S 1ST ST, ROGERS, AR 72756-4670
- **Practice address phone:** (918) 851-4334
- **Mailing address:** 6736 N 129TH EAST AVE, OWASSO, OK 74055-7160
- **Mailing address phone:** (918) 851-4334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/11/2025
- **Last updated:** 07/30/2025