Organization Active NPI

Prime Community Care, LLC

  • In Home Supportive Care Agency
  • Aurora, CO
National Provider Identifier
1841024643
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PRIME COMMUNITY CARE, LLC
Practice address
15200 E Girard Ave Ste 3150
Aurora, CO 80014-5063
Phone
(424) 326-8910
Fax
(424) 326-8910
NPI assigned
Aug 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Kenny Ha
Title
VP of Business Development
Phone
(626) 922-5685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

15200 E Girard Ave Ste 3150
Aurora, CO 80014-5063

Mailing address

180 E Ocean Blvd Ste 250
Long Beach, CA 90802-4709
Phone (424) 326-8910

National Provider Directory

National Provider Directory

Locations

180 E Ocean Blvd
Ste 250
Long Beach, CA 90802
Phone (562) 698-6600

15200 E Girard Ave
Ste 3150
Aurora, CO 80014
Phone (424) 326-8910

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1841024643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 E OCEAN BLVD STE 250",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024709",
            "telephone_number": "424-326-8910",
            "fax_number": "424-329-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 E GIRARD AVE STE 3150",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800145063",
            "telephone_number": "424-326-8910",
            "fax_number": "424-326-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME COMMUNITY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "626-922-5685"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.