Organization Active NPI

Primary Care Services, Inc.

  • Home Health Agency
  • Boca Raton, FL
National Provider Identifier
1639429780
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
29991460 Issued in FL
Legal business name
PRIMARY CARE SERVICES, INC.
Practice address
2290 NW 2ND Ave
Suite 6
Boca Raton, FL 33431-7457
Phone
(561) 417-7901
Fax
(561) 417-7977
NPI assigned
Sep 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Authorized official

Name
Ms. Kathleen Elizabeth Wojcik
Title
Administrator/Owner
Phone
(561) 417-7901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 29991460 FL Primary

Addresses

Primary practice location

2290 NW 2ND Ave
Suite 6
Boca Raton, FL 33431-7457

Mailing address

2290 NW 2ND Ave
Suite 6
Boca Raton, FL 33431-7457
Phone (561) 417-7901

Other identifiers 2

IdentifierTypeStateIssuer
29991460OtherFLHOME HEALTH AGENCY NON CERTIFIED LICENSE #
1249OtherFLHEALTH CARE SERVICES POOL

National Provider Directory

National Provider Directory

Locations

2290 NW 2nd Ave
Ste 6
Boca Raton, FL 33431
Phone (561) 417-7901

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1639429780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 NW 2ND AVE",
            "address_2": "SUITE 6",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317457",
            "telephone_number": "561-417-7901",
            "fax_number": "561-417-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 NW 2ND AVE",
            "address_2": "SUITE 6",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317457",
            "telephone_number": "561-417-7901",
            "fax_number": "561-417-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "WOJCIK",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "561-417-7901",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "29991460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH AGENCY NON CERTIFIED LICENSE #",
            "identifier": "29991460",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE SERVICES POOL",
            "identifier": "1249",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.