Prime Care One, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8813 Issued in FL

Legal business name

PRIME CARE ONE, LLC

Practice address

950 Pinebrook Rd
Venice, FL 34285-7147

Phone

(941) 484-8801

Fax

(941) 484-3450

NPI assigned

Nov 30, 2006

Last updated

Dec 30, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Mitchell

Title

Cfo, MGMT Co.

Phone

(772) 492-5002

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• HarborChase of Venice Other name

Locations

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1447327648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 HIGHWAY A1A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632310",
            "telephone_number": "772-492-5002",
            "fax_number": "772-492-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 PINEBROOK RD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857147",
            "telephone_number": "941-484-8801",
            "fax_number": "941-484-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE ONE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CFO, MGMT CO.",
        "authorized_official_telephone_number": "772-492-5002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8813",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF130470962",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021332200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HarborChase of Venice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jocelyn Pretell, ARNP
• Alexander Priddee
• Primary Care of Venice Inc
• Primary Care of Venice LLC
• Primary Urgent Care PL
• Primecare Venice LLC
• Linda P Princiotta, P.T.
• Priority Coastal Care LLC
• Professional Anesthesia Associates of Venice
• Professional Case Management of Southwest FL

• Assisted Living Facility in Venice, FL
• Providers in Venice, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.