Primo Care for Seniors

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

272627-1 Issued in NY

Legal business name

PRIMO CARE FOR SENIORS

Practice address

21910 S Conduit Ave
Springfield Gardens, NY 11413-3462

Phone

(917) 299-5959

NPI assigned

Apr 3, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Penny Joyce Walker

Title

Executive Director

Phone

(917) 299-5959

Specialties & licenses 3

Addresses

Other names 1

• Primo care Doing business as

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1790028249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11145 180TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114334130",
            "telephone_number": "917-299-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21910 S CONDUIT AVE",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114133462",
            "telephone_number": "917-299-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMO CARE FOR SENIORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "917-299-5959",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NY",
            "license": "272627-1",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primo care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Preventive Care LLC
• Shawn Prince-Britton
• Marcienne Prince, LPN
• PSCH. Inc
• Dereck Rampersad
• Vanessa Katrell Ratcliff, DDIV

• Nursing Care Agency in Springfield Gardens, NY
• Providers in Springfield Gardens, NY by specialty
• Nursing Care Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.