Organization
PREMIER HOME CARE, INC.
Active
Parent organization
AEROCARE HOLDINGS, INC.
Other names
AeroCare Home Medical Supply
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEROCARE HOLDINGS, INC.
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
2195 WATTERSON TRL, LOUISVILLE, KY 40299-2437
(502) 491-5243
(888) 678-7190
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
199493
KY
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
909286
KY
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000069783
ANTHEM ID
KY
05
—
1074015
—
KS
05
—
200147650
—
IN
01
—
389449P
SIHO
IN
01
—
400030
BLACK LUNG
KY
01
—
45909991
EPSDT
KY
05
—
7100035240
—
KY
01
—
80341
NORTHWOOD
KY
01
—
91022
APB
KY
01
—
MG0332
KENTUCKY BOARD OF PHARMACY LICENSE
KY
Enumeration date
11/18/2005
Last updated
10/15/2025
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