Prime Home Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRIME HOME CARE INC

Practice address

24 Crescent St Ste 307
Waltham, MA 02453-4360

Phone

(781) 325-3605

NPI assigned

Apr 29, 2021

Organization subpart

No

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

Authorized official

Name

Pauline Kukunda Kyambade

Title

Manager

Phone

(781) 325-3605

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1104409002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 POWDERMILL RD STE 173",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205932",
            "telephone_number": "781-325-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CRESCENT ST STE 307",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024534360",
            "telephone_number": "781-325-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "KUKUNDA KYAMBADE",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "781-325-3605"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Waltham, MA
• Providers in Waltham, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.