Premier Healthcare Services, LLC
NPI 1104058122 · Home Health Agency · West Covina, CA
Enrolled with Medicare as Part a Provider - Home Health Agency · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Premier Healthcare Services, LLC is a Home Health Agency organization in West Covina, CA (NPI 1104058122).
Provider details
- NPI number
- 1104058122
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Matthew Buckhalter, Cfo(470) 464-8000
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Aveanna Healthcare
Registry dates
- Enumerated
- 2009-08-10
- Last updated
- 2025-01-28
- Certified
- 2025-01-28
Frequently asked questions
- What is Premier Healthcare Services, LLC's NPI number?
- Premier Healthcare Services, LLC's National Provider Identifier (NPI) is 1104058122, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premier Healthcare Services, LLC?
- Premier Healthcare Services, LLC is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Premier Healthcare Services, LLC located?
- Premier Healthcare Services, LLC's practice location on file with NPPES is 1730 W Cameron Ave, West Covina, CA 91790-2722.
- What is Premier Healthcare Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Premier Healthcare Services, LLC is (626) 337-3444.
- Does Premier Healthcare Services, LLC accept Medicare?
- Premier Healthcare Services, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Premier Healthcare Services, LLC?
- The authorized official listed on Premier Healthcare Services, LLC's NPPES record is Matthew Buckhalter, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premier Healthcare Services, LLC's NPI active?
- Yes — Premier Healthcare Services, LLC's NPI (1104058122) is active in the NPPES registry as of the last update on 2025-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.