Organization Active NPI

Prime Care Home Health, Inc

  • Home Health Agency
  • Lathrop, CA
National Provider Identifier
1003277633
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRIME CARE HOME HEALTH, INC
Practice address
135 Darcy Pkwy Ste a
Lathrop, CA 95330-9220
Phone
(209) 248-0668
NPI assigned
Mar 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Abdul Wahab
Title
President/Owner
Phone
(510) 329-7997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

135 Darcy Pkwy Ste a
Lathrop, CA 95330-9220

Mailing address

135 Darcy Pkwy Ste a
Lathrop, CA 95330-9220
Phone (209) 248-0668

National Provider Directory

National Provider Directory

Locations

135 Darcy Pkwy
Ste A
Lathrop, CA 95330
Phone (209) 248-0668

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1003277633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 DARCY PKWY STE A",
            "city": "LATHROP",
            "state": "CA",
            "postal_code": "953309220",
            "telephone_number": "209-248-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 DARCY PKWY STE A",
            "city": "LATHROP",
            "state": "CA",
            "postal_code": "953309220",
            "telephone_number": "209-248-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "WAHAB",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "510-329-7997"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lathrop, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.