Organization Active NPI

Prima Home Health LLC

  • Home Health Agency
  • Lauderdale Lakes, FL
National Provider Identifier
1508835620
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA 299992155 Issued in FL
Legal business name
PRIMA HOME HEALTH LLC
Practice address
3500 N State Road 7
Suite 499
Lauderdale Lakes, FL 33319-5600
Phone
(954) 731-4511
Fax
(954) 485-1082
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Authorized official

Name
Mr. Barrington George Coombs, C.P.A
Title
Chief Financial Officer
Phone
(954) 731-4511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA 299992155 FL Primary

Addresses

Primary practice location

3500 N State Road 7
Suite 499
Lauderdale Lakes, FL 33319-5600

Mailing address

3500 N State Road 7
Suite 499
Lauderdale Lakes, FL 33319-5600
Phone (954) 731-4511

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2060934Prima Home Health3500 N State Rd 7, Lauder Hill, FL 33319Certificate of waiverJun 19, 2027

National Provider Directory

National Provider Directory

Locations

3500 N State Road 7
Ste 499
Lauderdale Lakes, FL 33319
Phone (954) 731-4511

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1508835620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N STATE ROAD 7",
            "address_2": "SUITE 499",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195600",
            "telephone_number": "954-731-4511",
            "fax_number": "954-485-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N STATE ROAD 7",
            "address_2": "SUITE 499",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195600",
            "telephone_number": "954-731-4511",
            "fax_number": "954-485-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMA HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "COOMBS",
        "authorized_official_first_name": "BARRINGTON",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "954-731-4511",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA 299992155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.