Prime Med Home Health Agency Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRIME MED HOME HEALTH AGENCY INC

Practice address

32260 Alvarado Blvd
Union City, CA 94587-4004

Phone

(510) 441-2406

Fax

(510) 487-1273

NPI assigned

Jan 21, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Marissa Villanueva

Title

Administrator

Phone

(510) 441-2406

Specialties & licenses 1

Addresses

Listed as

Prime Med Home Health Agency IncCCN 059621

Ownership

Proprietary

Certified

Dec 5, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1659619971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32260 ALVARADO BLVD",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945874004",
            "telephone_number": "510-441-2406",
            "fax_number": "510-487-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32260 ALVARADO BLVD",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945874004",
            "telephone_number": "510-441-2406",
            "fax_number": "510-487-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MED HOME HEALTH AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-441-2406",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Porciuncula, M.D.
• Paulina Portillo
• Olivia Posey
• Marshae DJ Potts
• Tasha L Prewitt
• Eleanor Pulido, D.M.D.
• Purple Lotus University
• Scott Walter Puza, M.D.
• Simon Quartly, PSY.D.
• Joseph M Racklin, PHD

• Home Health Agency in Union City, CA
• Providers in Union City, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.