Prime Star Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRIME STAR HOME HEALTH, INC.

Practice address

3717 W 3Rd St Ste 202
Los Angeles, CA 90020-2315

Phone

(213) 513-8922

Fax

(213) 513-7869

NPI assigned

Aug 22, 2022

Last updated

May 15, 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

Ms. Marie Grace Dimailig

Title

Ceo

Phone

(213) 513-8922

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1215656525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 S BERENDO ST APT 404",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051749",
            "telephone_number": "213-513-8922",
            "fax_number": "213-513-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 W 3RD ST STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900202315",
            "telephone_number": "213-513-8922",
            "fax_number": "213-513-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME STAR HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "DIMAILIG",
        "authorized_official_first_name": "MARIE GRACE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-513-8922",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kathryn Primeau, MSW, ASW
• Primecare Pharmacy Inc (Martin Pharmacy)
• Marlowe J Primero

• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.