Organization Active NPI

Prime Acquisitions, LLC

  • PACE Provider Organization
  • Saint Louis, MO
National Provider Identifier
1922691211
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
PRIME ACQUISITIONS, LLC
Doing business as
New Horizons PACE
Practice address
5035 Manchester Ave
Saint Louis, MO 63110-2011
Phone
(314) 897-7223
Fax
(314) 558-6021
NPI assigned
Feb 17, 2021
Organization subpart
Yes
Parent organization
PRIME ACQUISITIONS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Authorized official

Name
Mrs. Elizabeth Denise Dickens, RN,MSN
Title
Executive Director
Phone
(314) 897-7002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

5035 Manchester Ave
Saint Louis, MO 63110-2011

Mailing address

5035 Manchester Ave
Saint Louis, MO 63110-2011
Phone (314) 587-7958

Other names 1

  • New Horizons PACE Doing business as

National Provider Directory

National Provider Directory
Part of
Prime Acquisitions LLC

Locations

5035 Manchester Ave
Saint Louis, MO 63110
Phone (314) 690-7743

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1922691211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 MANCHESTER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102011",
            "telephone_number": "314-587-7958",
            "fax_number": "314-558-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5035 MANCHESTER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102011",
            "telephone_number": "314-897-7223",
            "fax_number": "314-558-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME ACQUISITIONS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIME ACQUISITIONS, LLC",
        "enumeration_date": "2021-02-17",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "DICKENS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-897-7002",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN,MSN"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Horizons PACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.