Organization
PREMIER HOME CARE, INC
Active
Parent organization
AEROCARE HOLDINGS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEROCARE HOLDINGS, INC
Authorized official
MR. STEPHEN P GRIGGS (CEO, PRESIDENT)
(407) 206-0040
Entity
Organization
Contact information
Practice address
575 S LAKE RD S, SCOTTSBURG, IN 47170
(812) 752-9449
Mailing address
3325 BARTLETT BLVD, ORLANDO, FL 32811-6428
(407) 206-0040
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
9800001382378
IN
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000182476
ANTHEM
IN
05
—
200147650
—
IN
01
—
389449P
SIHO
IN
01
—
400030
BLACK LUNG
IN
01
—
63556
APB
IN
Enumeration date
11/18/2005
Last updated
12/02/2021
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