Primac Care LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

PRIMAC CARE LLC

Practice address

186 Willow Turn # a
Mount Laurel, NJ 08054-3143

Phone

(856) 418-7683

NPI assigned

Sep 25, 2024

Last updated

Sep 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Uche Ewelike

Title

Ceo

Phone

(856) 418-7683

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1881411239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 WILLOW TURN # A",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543143",
            "telephone_number": "856-418-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 WILLOW TURN # A",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543143",
            "telephone_number": "856-418-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMAC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "EWELIKE",
        "authorized_official_first_name": "UCHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-418-7683"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Developmentally Disabled Services Day Training Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.