Prime Hospice & Services, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PRIME HOSPICE & SERVICES, LLC

Practice address

17515 W 9 Mile Rd Ste 195
Southfield, MI 48075-4403

Phone

(248) 227-7298

NPI assigned

Jan 25, 2022

Organization subpart

No

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

Authorized official

Name

Michael Timothy Lopez

Title

Chief Executive Officer

Phone

(248) 227-7298

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chona Bacay Lastimosa, M.D.

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1124298047
  NPD

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1497407084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17515 W 9 MILE RD STE 195",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754403",
            "telephone_number": "248-227-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17515 W 9 MILE RD STE 195",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754403",
            "telephone_number": "248-227-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HOSPICE & SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "248-227-7298"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Physicians Unlimited PLLC
• Prime Care Mobility LLC
• Prime Dentistry Southfield PLLC (dixon family dental)
• Prime Diagnostics Lab Inc.
• Prime Health Services LLC
• Prime Laboratory, LLC
• Prime Mental Health Staffing, LLC
• Prime Mobile Care Incorporated
• Prime Toxicology, LLC
• Primemart Pharmacy, LLC

• Community Based Hospice Care Agency in Southfield, MI
• Providers in Southfield, MI by specialty
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.