Primeage Health Sevices , Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

012279 Issued in TX

Legal business name

PRIMEAGE HEALTH SEVICES , INC

Practice address

6250 Westpark Dr Ste 207
Houston, TX 77057-7322

Phone

(281) 385-9800

NPI assigned

Oct 8, 2010

Organization subpart

No

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

Authorized official

Name

Olalekan Ademola Agboluaje

Title

Administrator

Phone

(281) 385-9800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1811207939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6250 WESTPARK DR STE 207",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577322",
            "telephone_number": "281-385-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 WESTPARK DR STE 207",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577322",
            "telephone_number": "281-385-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMEAGE HEALTH SEVICES , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "AGBOLUAJE",
        "authorized_official_first_name": "OLALEKAN",
        "authorized_official_middle_name": "ADEMOLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-385-9800"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": "012279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "012279",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prime Physicians PA
• Prime Spine Chiropractic PLLC
• Prime Surgitech LLC
• Prime Therapy LLC
• Prime Value Home Care LLC
• Primecare Castle LLC
• Primecare Medical Equipment LLC
• Primecare Medical Group, PLLC
• Primecare Medical Transport LLC
• Primecare Pharmacy

• Health Service Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.