Prime Homecare Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PRIME HOMECARE INC

Practice address

1100 E Washington St Ste 202
Grayslake, IL 60030-7963

Phone

(847) 543-8881

NPI assigned

Mar 26, 2024

Organization subpart

No

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

Authorized official

Name

Kishan Patel

Title

Manager

Phone

(847) 543-8881

Specialties & licenses 1

Addresses

Other names 1

• Home Instead Senior Care 108 Doing business as

Locations

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1073363578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E WASHINGTON ST STE 202",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E WASHINGTON ST STE 202",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307963",
            "telephone_number": "847-543-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KISHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-543-8881"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care 108",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Grayslake, IL
• Providers in Grayslake, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.