Active NPI
Prime Healthcentral
- In Home Supportive Care Agency
- West Palm Beach, FL
National Provider Identifier
1710218540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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
- Primary Care Physicians of West Palm Beach, LLC
- Primary Care Practitioners of West Palm Beach
- Primary Care Specialists of the Palm Beaches
- Prime Access Medical Group
- Prime Care Family Health Centers Inc
- Prime Physicians Group
- Molly Primelles
- Amy Elizabeth Prince, APRN
- Princeton Health, Inc
- Dominique Prine
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.