Organization Active NPI

Prime Home Care LLC

  • Home Health Agency
  • Lauderhill, FL
National Provider Identifier
1740933746
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRIME HOME CARE LLC
Practice address
7157 W Oakland Park Blvd
Lauderhill, FL 33313-1038
Phone
(954) 520-7005
Fax
(772) 600-3651
NPI assigned
Jan 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Nicodhia Paul, MHA
Title
Administrator
Phone
(561) 705-1212

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X

Addresses

Primary practice location

7157 W Oakland Park Blvd
Lauderhill, FL 33313-1038

Mailing address

7157 W Oakland Park Blvd
Lauderhill, FL 33313-1038
Phone (954) 520-7005

Other names 2

  • Prime Home Care llc Doing business as
  • Prime Home Care Other name

National Provider Directory

National Provider Directory
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.

Locations

7157 W Oakland Park Blvd
Lauderhill, FL 33313
Phone (954) 520-7005

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1740933746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7157 W OAKLAND PARK BLVD",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333131038",
            "telephone_number": "954-520-7005",
            "fax_number": "772-600-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7157 W OAKLAND PARK BLVD",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333131038",
            "telephone_number": "954-520-7005",
            "fax_number": "772-600-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "NICODHIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-705-1212",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Home Care llc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prime Home Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.