Prime Life Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PRIME LIFE CARE LLC

Practice address

119 Weber St
South Bend, IN 46637-3348

Phone

(574) 395-3838

NPI assigned

Dec 4, 2024

Organization subpart

No

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

Authorized official

Name

Beth Thomas

Title

Owner

Phone

(574) 395-3838

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1093521163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 WEBER ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466373348",
            "telephone_number": "574-395-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WEBER ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466373348",
            "telephone_number": "574-395-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME LIFE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-395-3838"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlee Price
• Jamie Rexine Price, M.A., L.M.H.C.
• Olivia Papai Price, PA-C
• Russell Lee Price Jr., LCSW
• Primary Care Partners of South Bend
• Brianna Primrose, NP
• Jennifer Clare Prins, M.D.
• Sarah Ellen Pritt, MS
• Proactive Health, Inc
• Kristen Prock, MSW

• In Home Supportive Care Agency in South Bend, IN
• Providers in South Bend, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.