# A PREMIER HOME PROVIDER SERVICE LLC

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

## Provider details

- **NPI number:** 1841846060
- **Authorized official:** MARIA D GUTIERREZ (CFO/OWNER)
- **Authorized official phone:** (239) 200-9073

## Contact information

- **Practice address:** 9990 COCONUT RD STE 260, ESTERO, FL 34135-8488
- **Practice address phone:** (239) 200-9073
- **Mailing address:** 9990 COCONUT RD STE 260, ESTERO, FL 34135-8488
- **Mailing address phone:** (239) 200-9073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 164W00000X | Licensed Practical Nurse | — | NULL | — |
| 164W00000X | Licensed Practical Nurse | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |
| 376J00000X | Homemaker | — | NULL | — |
| 376J00000X | Homemaker | — | — | — |
| 376K00000X | Nurse's Aide | — | NULL | — |
| 376K00000X | Nurse's Aide | — | — | — |

## Other

- **Enumeration date:** 08/13/2019
- **Last updated:** 09/25/2022