Organization Active NPI

Prime Care Home Health Inc

  • Home Health Agency
  • Denver, CO
National Provider Identifier
1164204830
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRIME CARE HOME HEALTH INC
Practice address
2121 S Oneida St Ste 100
Denver, CO 80224-2550
Phone
(720) 975-8448
Fax
(720) 789-7219
NPI assigned
Oct 17, 2023
Last updated
Oct 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Mr. Mohammed Igeh
Title
Ceo
Phone
(720) 975-8448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

2121 S Oneida St Ste 100
Denver, CO 80224-2550

Mailing address

2121 S Oneida St Ste 100
Denver, CO 80224-2550
Phone (720) 975-8448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241227002678 CO Part A Provider - Home Health Agency 2567999881 Practice locations: Denver, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164204830. Details of each certification follow.

Home health agency certification: CCN 067647

Legal name
PRIME CARE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 8, 2025
Last certification
Apr 8, 2025
Organization structure
CorporationProprietary
Enrollment address
2121 S Oneida St
Ste 100
Denver, CO 80224-2550

Care Compare: Home health agency

Medicare Care Compare
Listed as
Prime Care Home Health IncCCN 067647 · All quality measures
Ownership
-
Certified
Apr 8, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Prime Care Home Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Marisol Darge Individual W-2 Managing EmployeeActing Director of Nursing Dec 18, 2024
Mohammed Ahmed Igeh Individual 5% Or Greater Direct Ownership InterestCeo Mar 5, 2024 100%
Corporate OfficerCeo Mar 5, 2024 100%
Corporate DirectorPresident Mar 5, 2024 100%
W-2 Managing EmployeeAd; Mar 5, 2024
Karen Bibobra Individual W-2 Managing EmployeeDirector of Nursing Dec 18, 2024
Abdillahi Farah Individual W-2 Managing EmployeeOffice Manager Dec 18, 2024

NPI Registry JSON

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1164204830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S ONEIDA ST STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802242550",
            "telephone_number": "720-975-8448",
            "fax_number": "720-789-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S ONEIDA ST STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802242550",
            "telephone_number": "720-975-8448",
            "fax_number": "720-789-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "IGEH",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-975-8448",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.