Prime Home Healthcare Inc

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

PRIME HOME HEALTHCARE INC

Practice address

2719 W Division St Ste 6
Saint Cloud, MN 56301-3400

Phone

(320) 281-3075

NPI assigned

Jun 17, 2024

Organization subpart

No

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

Authorized official

Name

Mowlid Hussein

Title

Owner

Phone

(320) 281-3075

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1386487262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 W DIVISION ST STE 6",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013400",
            "telephone_number": "320-281-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 W DIVISION ST STE 6",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013400",
            "telephone_number": "320-281-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HOME HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "MOWLID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-281-3075"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premise Health of Minnesota Medical PC
• Premium Medical Supply LLC
• James Stanley Prijatel, MS
• Rebecca Sue Prill
• Prime Choice LLC
• Prime Medical Solution Inc
• Primecare Transport Inc
• Primechoice Transport Inc
• Donald M. Primley, D.D.S., M.S.
• Danita Marie Primus, PHARMD

• Home Health Aide in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Home Health Aide in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.