Active NPI
Primary Homecare, LLC
- Primary Care Nurse Practitioner
- Elkins Park, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- PRIMARY HOMECARE, LLC
- Practice address
- 8118 Old York Rd
Suite D
Elkins Park, PA 19027-1423 - Phone
- (215) 635-3151
- Fax
- (215) 635-3165
- NPI assigned
- May 22, 2006
- Last updated
- Feb 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Gill, DNP, CRNP
- Title
- Cco
- Phone
- (215) 635-3151
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | |||
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
8118 Old York Rd
Suite D
Elkins Park, PA 19027-1423
Mailing address
8118 Old York Rd
Suite D
Elkins Park, PA 19027-1423
Phone (215) 635-3151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D1070524 | Primary Homecare LLC | Certificate of waiver | Jul 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
318 S Burnt Mill Rd
Ste 200
Voorhees, NJ 08043
Phone (215) 635-3151
2480 Durham Rd
Bristol, PA 19007
Phone (215) 949-3200
2480 Durham Rd
#B
Bristol, PA 19007
Phone (215) 635-3151
1337A Cottman Ave
Philadelphia, PA 19111
Phone (215) 722-7835
Practitioners & affiliated clinicians
Practitioners 58
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cardiovascular Disease Physician
- Bala Cynwyd, PA
- NPI 1346252186
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bala Cynwyd, PA
- NPI 1487989646
-
- Gerontology Nurse Practitioner
- Reading, PA
- NPI 1053856005
-
- Family Nurse Practitioner
- Elkins Park, PA
- NPI 1588816219
-
- Family Nurse Practitioner
- Philadelphia, PA
- NPI 1700328960
-
- Adult Health Nurse Practitioner
- Elkins Park, PA
- NPI 1922296987
-
- Gerontology Clinical Nurse Specialist
- West Lawn, PA
- NPI 1083113047
-
- Family Nurse Practitioner
- King of Prussia, PA
- NPI 1548555196
-
- Occupational Therapist
- Feasterville Trevose, PA
- NPI 1073279048
-
- Gerontology Nurse Practitioner
- Philadelphia, PA
- NPI 1366431207
-
- Family Nurse Practitioner
- Philadelphia, PA
- NPI 1376869677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676419200000",
"number": "1629023593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8118 OLD YORK RD",
"address_2": "SUITE D",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190271423",
"telephone_number": "215-635-3151",
"fax_number": "215-635-3165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8118 OLD YORK RD",
"address_2": "SUITE D",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190271423",
"telephone_number": "215-635-3151",
"fax_number": "215-635-3165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY HOMECARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-22",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A",
"authorized_official_last_name": "GILL",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "CCO",
"authorized_official_telephone_number": "215-635-3151",
"authorized_official_credential": "DNP, CRNP"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkins Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.