Prime Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

NR30211877 Issued in FL

Legal business name

PRIME HOME CARE LLC

Practice address

1025 SW Martin Downs Blvd Ste 206
Palm City, FL 34990-2864

Phone

(772) 600-3650

NPI assigned

Jan 20, 2017

Organization subpart

No

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

Authorized official

Name

Nicodhia Paul

Title

Ceo

Phone

(561) 404-3519

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Prime Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prime Home Care LLC

  • Home Health Agency
  • Lauderhill, FL
  • NPI 1740933746
  NPD tax ID

Locations

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1669919254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 SW MARTIN DOWNS BLVD STE 206",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902864",
            "telephone_number": "772-600-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 SW MARTIN DOWNS BLVD STE 206",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902864",
            "telephone_number": "772-600-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "NICODHIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-404-3519"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "NR30211877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "810868688516",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Palm City, FL
• Providers in Palm City, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.