Organization
PREMIER CARE AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHASIDIE DAVIS LPN (OWNER/ADMINISTRATOR)
(803) 814-1111
Entity
Organization
Contact information
Practice address
636 PINE RIDGE DR STE B, WEST COLUMBIA, SC 29172-1867
(803) 814-1111
Mailing address
135 TURNFIELD DR, WEST COLUMBIA, SC 29170-3883
(843) 453-3774
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
253Z00000X
In Home Supportive Care Agency
—
—
291U00000X
Clinical Medical Laboratory
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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