Active NPI
Prime Choice & Care LLC
- In Home Supportive Care Agency
- Riverview, FL
National Provider Identifier
1427953504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- PRIME CHOICE & CARE LLC
- Practice address
- 11707 Tetrafin Dr
Riverview, FL 33579-4127 - Phone
- (863) 844-1735
- NPI assigned
- Oct 9, 2026
- Last updated
- Oct 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carissa Randall Wallace
- Title
- Owner
- Phone
- (863) 844-1735
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | NU | ||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
11707 Tetrafin Dr
Riverview, FL 33579-4127
Mailing address
11707 Tetrafin Dr
Riverview, FL 33579-4127
Phone (863) 844-1735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791504000000",
"number": "1427953504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11707 TETRAFIN DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335794127",
"telephone_number": "863-844-1735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11707 TETRAFIN DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335794127",
"telephone_number": "863-844-1735"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME CHOICE & CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-09",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A",
"authorized_official_last_name": "WALLACE",
"authorized_official_first_name": "CARISSA",
"authorized_official_middle_name": "RANDALL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "863-844-1735"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.