Prime Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRIME HOME CARE LLC

Practice address

9700 Mackenzie Rd
Saint Louis, MO 63123-5560

Phone

(314) 544-0000

NPI assigned

Nov 24, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Ibro Tucakovic

Title

Managing Member

Phone

(314) 544-0000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1609533694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 MACKENZIE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631235560",
            "telephone_number": "314-544-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 MACKENZIE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631235560",
            "telephone_number": "314-544-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "TUCAKOVIC",
        "authorized_official_first_name": "IBRO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "314-544-0000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Care Inc.
• Primary Healthcare STL, LLC
• Primary Medical Services, LLC
• Prime Acquisitions, LLC
• Prime Health Supply LLC
• Prime Home Health Care Family Limited Partnership
• Primebridge Psychiatric Care LLC
• Primecare at Home Services LLC
• Joseph M Primrose, MD
• Janese F. Prince, MSW

• Home Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.