NPIMap

Organization Active NPI

Primary Home Health Care, Inc.

  • In Home Supportive Care Agency
  • Colorado Springs, CO
National Provider Identifier
1376991893
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
04O244 Issued in CO
Legal business name
PRIMARY HOME HEALTH CARE, INC.
Practice address
111 E Polk Street
Colorado Springs, CO 80907-6227
Phone
(719) 577-4272
Fax
(719) 227-9272
NPI assigned
May 25, 2016
Last updated
Jan 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Authorized official

Name
Ms. Diana Louise Prime, R.N.
Title
Vice-President
Phone
(719) 577-4272

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 04O244 CO Primary
In Home Supportive Care Agency 253Z00000X 04K988 CO

Addresses

Primary practice location

111 E Polk Street
Colorado Springs, CO 80907-6227

Mailing address

111 E. Polk Street
Colorado Springs, CO 80907-6227
Phone (719) 577-4272

Other identifiers 1

IdentifierTypeStateIssuer
41652576MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Primary Home Health Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1376991893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E. POLK STREET",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076227",
            "telephone_number": "719-577-4272",
            "fax_number": "719-227-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E POLK STREET",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076227",
            "telephone_number": "719-577-4272",
            "fax_number": "719-227-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "PRIME",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "719-577-4272",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CO",
            "license": "04O244",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CO",
            "license": "04K988",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41652576",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.