# PREMIUM HOME HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841025350
- **Authorized official:** CHIKE NWOKEDI (ALTERNATE ADMINISTRATOR)
- **Authorized official phone:** (317) 469-3360

## Contact information

- **Practice address:** 881 DECLARATION DRIVE, PITTSBORO, IN 46167
- **Practice address phone:** (317) 744-3022
- **Mailing address:** 881 DECLARATION DRIVE, PITTSBORO, IN 46167

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/04/2024
- **Last updated:** 09/04/2024