Prime Family Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PRIME FAMILY CARE LLC

Practice address

15301 Tireman Ave Ste B
Dearborn, MI 48126-1045

Phone

(313) 358-6586

NPI assigned

Sep 19, 2023

Last updated

Sep 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ali HijaziNPI 1801674908

Title

Owner

Phone

(313) 358-6586

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ali Hijazi

  • Family Nurse Practitioner
  • Dearborn, MI
  • NPI 1801674908
  Medicare reassignment Care Compare group NPD Authorized official
• Rida Ahamd Barakat

  • Family Medicine Physician
  • Dearborn, MI
  • NPI 1932761467
  Medicare reassignment Care Compare group NPD
• Ali Jaber

  • Family Nurse Practitioner
  • Dearborn, MI
  • NPI 1558149658
  Medicare reassignment NPD

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1164200267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15301 TIREMAN AVE STE B",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261045",
            "telephone_number": "313-358-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15301 TIREMAN AVE STE B",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261045",
            "telephone_number": "313-358-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "HIJAZI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-358-6586"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Prichard-Sova, CCC-SLP
• Prime Care Medical Clinic PLLC
• Prime Care One Urgent Care PLLC
• Prime Care Services Inc
• Prime Dentistry Novi PLLC
• Prime One Pharmacy LLC (Prime One Pharmacy)
• Prime Rehab Services, LLC
• Primecase Solutions
• Primehealth of Michigan LLC
• Primetime Medical Transportation LLC

• Urgent Care Clinic/Center in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Urgent Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.