Active NPI
Primary Care Services, Inc.
- Home Health Agency
- Boca Raton, FL
National Provider Identifier
1639429780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 29991460
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29991460 | Other | FL | HOME HEALTH AGENCY NON CERTIFIED LICENSE # |
| 1249 | Other | FL | HEALTH CARE SERVICES POOL |
National Provider Directory
National Provider DirectoryLocations
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.