Organization Active NPI

Prime Care and Living LLC

  • Home Health Agency
  • Canton, OH
National Provider Identifier
1417791369
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRIME CARE AND LIVING LLC
Practice address
215 25TH St SW
Canton, OH 44706-5616
Phone
(216) 635-8480
NPI assigned
Jun 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Shawncye Little
Title
Owner
Phone
(216) 635-8480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

215 25TH St SW
Canton, OH 44706-5616

Mailing address

215 25TH St SW
Canton, OH 44706-5616
Phone (216) 635-8480

National Provider Directory

National Provider Directory
Tax ID family
Prime Care and Living LLC2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1417791369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 25TH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447065616",
            "telephone_number": "216-635-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 25TH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447065616",
            "telephone_number": "216-635-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE AND LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "SHAWNCYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-635-8480"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.