Primer Supportive Network LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRIMER SUPPORTIVE NETWORK LLC

Practice address

7597 Upper 24TH St N
Oakdale, MN 55128-5025

Phone

(651) 278-9352

NPI assigned

Feb 21, 2025

Organization subpart

No

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

Authorized official

Name

Anthony Ngocho Nasilai

Title

Ceo

Phone

(651) 278-9352

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1376349142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7597 UPPER 24TH ST N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285025",
            "telephone_number": "651-278-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7597 UPPER 24TH ST N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285025",
            "telephone_number": "651-278-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMER SUPPORTIVE NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "NASILAI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "NGOCHO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-278-9352"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tenzin Choedon Pontsang
• Amanda Lee Pothen, COTA
• Premium Choice Care LLC
• Amber Priestley, LMFT
• Prime Choice Home Care Solutions LLC
• Priority Health Home Care Inc
• Marlan Proctor, BA
• Protez Foundation
• Courtney Provos, APRN, CNP
• Meaghan Claire Puckett, LMFT

• Home Health Agency in Oakdale, MN
• Providers in Oakdale, MN by specialty
• Home Health Agency in Minnesota

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