Primary Providers Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRIMARY PROVIDERS HOME CARE, LLC

Practice address

5333 Angora Ter
Philadelphia, PA 19143-3113

Phone

(856) 725-7354

NPI assigned

Sep 6, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Sharron Butts

Title

Owner

Phone

(856) 725-7354

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1720637366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 DARTMOOR AVE",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080946310",
            "telephone_number": "856-725-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 ANGORA TER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433113",
            "telephone_number": "856-725-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY PROVIDERS HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "BUTTS",
        "authorized_official_first_name": "SHARRON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-725-7354",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.