Primeshire LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRIMESHIRE LLC

Practice address

3611 Maplewood Ave
Apartment 113
Wichita Falls, TX 76308-2140

Phone

(940) 228-0596

NPI assigned

Feb 9, 2013

Organization subpart

No

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

Authorized official

Name

Ibukunoluwa Ajibade Ogunyinka

Title

Administrator

Phone

(940) 228-0596

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1360368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360368000000",
    "number": "1144569286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 MAPLEWOOD AVE",
            "address_2": "APARTMENT 113",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082140",
            "telephone_number": "940-228-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 MAPLEWOOD AVE",
            "address_2": "APARTMENT 113",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082140",
            "telephone_number": "940-228-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMESHIRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-09",
        "last_updated": "2013-02-09",
        "status": "A",
        "authorized_official_last_name": "OGUNYINKA",
        "authorized_official_first_name": "IBUKUNOLUWA",
        "authorized_official_middle_name": "AJIBADE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "940-228-0596"
    },
    "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 Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2013; 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.