Prime Support Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRIME SUPPORT CARE INC

Practice address

12750 SW 128TH St Ste 203
Miami, FL 33186-5380

Phone

(305) 414-3653

NPI assigned

May 9, 2018

Organization subpart

No

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

Authorized official

Name

Zulema Gonzalez Sanchez

Title

Ceo

Phone

(305) 414-3653

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 687190

Legal name

PRIME SUPPORT CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 3, 2022

Last certification

Jun 3, 2022

Organization structure

CorporationProprietary

Incorporated

Apr 18, 2018 in FL

Enrollment address

12750 SW 128TH St
Ste 203
Miami, FL 33186-5380
HHA Branch

Listed as

Prime Support Care IncCCN 687190 · All quality measures

Ownership

-

Certified

Jun 3, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Yaima Bonet, ARNP

  • Nurse Practitioner
  • North Miami Beach, FL
  • NPI 1437602224

  Corporate Director, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1457840050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15443 SW 184TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331871754",
            "telephone_number": "305-414-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12750 SW 128TH ST STE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865380",
            "telephone_number": "305-414-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME SUPPORT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ SANCHEZ",
        "authorized_official_first_name": "ZULEMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-414-3653"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY FOR HEALTH CARE ADMINISTRATION",
            "identifier": "299995438",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prime Time ABA Therapy Inc
• Primecare Medical Solutions Inc
• Primecare Renal Group LLC
• Primehealth Ipa LLC

• Home Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.