Prime Living Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PRIME LIVING CARE LLC

Practice address

430 W Merrick Rd Ste 21
Valley Stream, NY 11580-5201

Phone

(786) 853-8863

NPI assigned

Jul 26, 2017

Organization subpart

No

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

Authorized official

Name

Samuel Nelson

Title

Owner

Phone

(786) 853-8863

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255855870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 W MERRICK RD STE 21",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805201",
            "telephone_number": "786-853-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W MERRICK RD STE 21",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805201",
            "telephone_number": "786-853-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME LIVING CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-853-8863"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gigi Pressley
• Aaron Jed Barlis Presto, PT, DPT
• Jean-Paul Pretat
• Joshua Priesman
• Prime Leader PT PC
• Prime Plus Transit Inc
• Prince Center for the Visually Impaired
• Lucien Prince, MT
• Robin Prince
• Prism Healthcure Incorporated

• In Home Supportive Care Agency in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• In Home Supportive Care Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.