Organization Active NPI

Prime Home Care LLC

  • In Home Supportive Care Agency
  • Salt Lake City, UT
National Provider Identifier
1043148083
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PRIME HOME CARE LLC
Practice address
4516 S 700 E Ste 279
Salt Lake City, UT 84107-4192
Phone
(801) 999-4678
NPI assigned
May 11, 2026
Last updated
May 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Patrick Nsabumugabe
Title
Owner/President
Phone
(801) 999-4678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4516 S 700 E Ste 279
Salt Lake City, UT 84107-4192

Mailing address

7067 W Knowley Rd
West Jordan, UT 84081-5099
Phone (801) 999-4678

National Provider Directory

National Provider Directory

Locations

4516 S 700 E
Ste 279
Salt Lake City, UT 84107
Phone (801) 999-4678

NPI Registry JSON

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1043148083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7067 W KNOWLEY RD",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840815099",
            "telephone_number": "801-999-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 S 700 E STE 279",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841074192",
            "telephone_number": "801-999-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "NSABUMUGABE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "801-999-4678"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.