Prime Care Health Agency, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA20960096 Issued in FL

Legal business name

PRIME CARE HEALTH AGENCY, INC

Doing business as

Principle Health Services

Practice address

11440 N Kendall Dr Ste 500
Miami, FL 33176-1025

Phone

(305) 591-7774

Fax

(305) 594-8951

NPI assigned

May 31, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Grieco, RN

Title

Administrator

Phone

(305) 591-7774

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Principle Health Services Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 107694

Legal name

PRIME CARE HEALTH AGENCY, INC

Doing business as

PRINCPLE HEALTH SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 27, 2002

Last certification

May 2, 2015

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Nov 13, 1985 in FL

Enrollment address

11440 N Kendall Dr
Ste 500
Miami, FL 33176-1025

Listed as

Principle Health ServicesCCN 107694

Ownership

Proprietary

Certified

Feb 27, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 5

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

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1477556751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11440 N KENDALL DR STE 500",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761025",
            "telephone_number": "305-591-7774",
            "fax_number": "305-594-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11440 N KENDALL DR STE 500",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761025",
            "telephone_number": "305-591-7774",
            "fax_number": "305-594-8951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7951 SW 6th St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333243211",
            "country_code": "US",
            "telephone_number": "305-591-7774 x400",
            "fax_number": "954-735-6668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIME CARE HEALTH AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "GRIECO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-591-7774",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA20960096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027021103",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "678246900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "JO6",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027021100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027021196",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027021101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Principle Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Principle Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Jul 10, 2019; 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.