Prime Care Providers, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRIME CARE PROVIDERS, LLC

Practice address

2656 Creekwood Cir Apt 3
Moraine, OH 45439-3287

Phone

(937) 266-0447

NPI assigned

Jun 28, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Charles Bizimana

Title

Operations Support

Phone

(571) 778-7240

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1751068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751068800000",
    "number": "1235028010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2656 CREEKWOOD CIR APT 3",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454393287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2656 CREEKWOOD CIR APT 3",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454393287",
            "telephone_number": "937-266-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-28",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A",
        "authorized_official_last_name": "BIZIMANA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OPERATIONS SUPPORT",
        "authorized_official_telephone_number": "571-778-7240",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; 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.