Prim Palliative & Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PRIM PALLIATIVE & HOSPICE CARE INC

Practice address

5048 Tennyson Pkwy Ste 122
Plano, TX 75024-3088

Phone

(469) 328-7219

Fax

(469) 277-8468

NPI assigned

May 15, 2019

Organization subpart

No

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

Authorized official

Name

Priscilla Kalesoi

Title

Administrator

Phone

(469) 342-3097

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 971696

Legal name

PRIM PALLIATIVE & HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 1, 2021

Last certification

Oct 1, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Feb 25, 2019 in TX

Enrollment address

5048 Tennyson Pkwy
Ste 122
Plano, TX 75024-3088

Listed as

Prim Palliative & Hospice Care IncCCN 971696

Ownership

For-Profit

Certified

Oct 1, 2021

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Adebola Sulaiman Olatunji, M.D.

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1356308381

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1124684196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5048 TENNYSON PKWY STE 122",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243088",
            "telephone_number": "469-342-3097",
            "fax_number": "469-277-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5048 TENNYSON PKWY STE 122",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243088",
            "telephone_number": "469-328-7219",
            "fax_number": "469-277-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIM PALLIATIVE & HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "KALESOI",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-342-3097"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorian Price, D.D.S.
• Jakayla Nekelle Price, OTR, MOT
• Kristine Nicole Price, LPC
• Megan Nicole Price, MA, OTR/L
• Nathan Priddy, M.D.
• Primamed Physicians PLLC
• Primary Eye Care
• Primary MD PLLC
• Prime Diagnostic Imaging of Plano LLC
• Prime Foot & Ankle Care, PLLC

• Community Based Hospice Care Agency in Plano, TX
• Providers in Plano, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.