Primeliving Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRIMELIVING HOME HEALTH, INC.

Practice address

48521 Warm Springs Blvd Ste 307a
Fremont, CA 94539-7796

Phone

(510) 770-9810

Fax

(510) 770-9841

NPI assigned

Apr 11, 2013

Organization subpart

No

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

Authorized official

Name

Timothy Joseph Plonsey

Title

President/Ceo

Phone

(510) 770-9810

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881037562. Details of each certification follow.

• CCN 059561 Home health agency · Active · Details

Home health agency certification: CCN 059561

Legal name

PRIMELIVING HOME HEALTH, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 15, 2014

Last certification

Feb 7, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 20, 2013 in CA

Enrollment address

48521 Warm Springs Blvd 307a
Fremont, CA 94539-7796

Listed as

Primeliving Home Health, IncCCN 059561 · All quality measures

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Apr 15, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Samir Sharma, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Los Gatos, CA
  • NPI 1508966508

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1881037562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48521 WARM SPRINGS BLVD STE 307A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397796",
            "telephone_number": "510-770-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48521 WARM SPRINGS BLVD STE 307A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397796",
            "telephone_number": "510-770-9810",
            "fax_number": "510-770-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMELIVING HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-11",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "PLONSEY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "510-770-9810"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Senior Care Group Corporation
• Premier Surgicenter LLC (Premier Surgicenter)
• Premise Health of California Medical PC (Occupational Health Services BI Fremont)
• Jennifer Preston, FNP
• Primeliving Home Health Therapy, Inc.
• John Prior
• Bryant Priromprintr, M.D.
• Pristine Oriental Acupuncture Clinic Inc
• Proactive Physical Therapy and Fitness
• Jon A Proctor, MD

• Home Health Agency in Fremont, CA
• Providers in Fremont, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.