Prime Care World

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PRIME CARE WORLD

Practice address

188 W Tefft St Unit B
Nipomo, CA 93444-9669

Phone

(805) 668-3228

NPI assigned

Jan 31, 2020

Last updated

Jan 31, 2020By 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

Alexander Glotov Shtein

Title

President

Phone

(805) 668-3228

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1497386072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S MARY AVE",
            "address_2": "STE 2/131",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "93444",
            "telephone_number": "805-668-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 W TEFFT ST UNIT B",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934449669",
            "telephone_number": "805-668-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE WORLD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "GLOTOV SHTEIN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-668-3228"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haylie Jenna Pennachio, B.S. PSYCHOLOGY
• Brittany Perez
• Ashlynn Pierce
• Rebecca Ann Pittenger, PH.D.
• Phillip Bradley Plotz, M.D.
• Teresa N/a Rea, N/A
• Jordan Mark Reader, DO
• Robert Alan Reed, PHARMD
• Laurie Reifsnyder, PH.D.
• Valerie Jenine Reilly, P.A.

• Community Based Hospice Care Agency in Nipomo, CA
• Providers in Nipomo, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.