Organization
1 A A PREMIER HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES JOHN MICHELSEN IV (COO)
(208) 631-3940
Entity
Organization
Contact information
Practice address
1008 W SANETTA ST, NAMPA, ID 83651-5047
(208) 631-3940
Mailing address
1008 W SANETTA ST, NAMPA, ID 83651-5047
(208) 631-3940
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
05/22/2023
Last updated
10/23/2025
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