Prime Minded Care LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PRIME MINDED CARE LLC

Practice address

2333 Morris Ave Ste C202
Union, NJ 07083-5747

Phone

(216) 235-5484

NPI assigned

May 19, 2022

Organization subpart

No

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

Authorized official

Name

Alimata Sore Ouedraogo

Title

Owner

Phone

(216) 235-5484

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1841937893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 MORRIS AVE STE C202",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835747",
            "telephone_number": "216-235-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 MORRIS AVE STE C202",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835747",
            "telephone_number": "216-235-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MINDED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "SORE OUEDRAOGO",
        "authorized_official_first_name": "ALIMATA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-235-5484"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVING LICENSE",
            "identifier": "S65780240061822",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alisorn@icloud.com",
            "affiliation": "N",
            "endpointDescription": "Group official email address",
            "address_1": "46-48 Crawford St Apt 3",
            "city": "Newark",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "071021157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Premier Home Health Care Services, Inc
• Preserving My Peace Mental Health Solutions L.L.C.
• Primary Care Partners, LLC
• Prime Care Staffing Incorporated
• Prime Geriatric Care LLC
• Sabine Prince-Bataille
• Priority Healthcare Center
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy of N.J., L.L.C.
• Progressive Edge Physical Therapy LLC

• Psychiatric/Mental Health Nurse Practitioner in Union, NJ
• Providers in Union, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.