Prime Time Elder Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

3442000-2 Issued in MN

Legal business name

PRIME TIME ELDER CARE, LLC

Practice address

220 S Broadway
Suite 354
Rochester, MN 55904-6514

Phone

(507) 288-5499

Fax

(507) 208-4349

NPI assigned

Jan 21, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Sheiknor A Qassim

Title

President

Phone

(507) 202-1517

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1811228489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S BROADWAY",
            "address_2": "SUITE 354",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559046514",
            "telephone_number": "507-288-5499",
            "fax_number": "507-208-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S BROADWAY",
            "address_2": "SUITE 354",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559046514",
            "telephone_number": "507-288-5499",
            "fax_number": "507-208-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME TIME ELDER CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "QASSIM",
        "authorized_official_first_name": "SHEIKNOR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-202-1517",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "3442000-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Priestley, DC
• Mikel Prieto, M.D.
• Abbigail Faye Prigge
• Bradly Prigge
• Kimberly A Prigge, CNP
• Primetime Living
• Katherine Rachel Prinsen, CNP
• Rachael Lyann Printz, APRN, CRNA
• Rose J Prissel, RD, CDE, LD
• Christina Lynn Pristash, M.S., LMFT

• Home Health Agency in Rochester, MN
• Providers in Rochester, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.