Organization Active NPI

Prime Healthcentral

  • In Home Supportive Care Agency
  • West Palm Beach, FL
National Provider Identifier
1710218540
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PRIME HEALTHCENTRAL
Practice address
630 Datura St
Apt 12-a
West Palm Beach, FL 33401-5314
Phone
(954) 889-7134
NPI assigned
Jan 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Authorized official

Name
Dr. Claude Kassim, DO,MPH
Title
President
Phone
(954) 889-7134

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Public Health or Welfare Agency 251K00000X
In Home Supportive Care Agency 253Z00000X Primary
Primary Care Clinic/Center 261QP2300X
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

630 Datura St
Apt 12-a
West Palm Beach, FL 33401-5314

Mailing address

3540 NW 121St Ave
Box 451447
Sunrise, FL 33323-3302
Phone (954) 889-7134

Other names 1

  • Medickass International Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1710218540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 NW 121ST AVE",
            "address_2": "BOX 451447",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233302",
            "telephone_number": "954-889-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 DATURA ST",
            "address_2": "APT 12-A",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015314",
            "telephone_number": "954-889-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTHCENTRAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "KASSIM",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-889-7134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO,MPH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medickass International Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.