Organization Active NPI

Primary Health at Home

  • Primary Care Nurse Practitioner
  • Bloomingdale, IL
National Provider Identifier
1184569808
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
PRIMARY HEALTH AT HOME
Practice address
328 Vinings Dr
Bloomingdale, IL 60108-2627
Phone
(616) 416-5906
NPI assigned
Apr 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Mark Anthony Artaba, NP-CNPI 1073491346
Title
Nurse Practitioner
Phone
(616) 416-5906

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

328 Vinings Dr
Bloomingdale, IL 60108-2627

Mailing address

328 Vinings Dr
Bloomingdale, IL 60108-2627
Phone (616) 416-5906

Other names 1

  • PRIMARY HEALTH AT HOME PROFESSIONAL LIMITED LIABILITY COMPANY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1184569808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 VININGS DR",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082627",
            "telephone_number": "616-416-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 VININGS DR",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082627",
            "telephone_number": "616-416-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTH AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "ARTABA",
        "authorized_official_first_name": "MARK ANTHONY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "616-416-5906",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIMARY HEALTH AT HOME PROFESSIONAL LIMITED LIABILITY COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.