Active NPI
Prime Care One LLC
- Skilled Nursing Facility
- Naples, FL
National Provider Identifier
1932297553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SNF130470984
- Legal business name
- PRIME CARE ONE LLC
- Practice address
- 7801 Airport Pulling Rd N
Naples, FL 34109-1717 - Phone
- (239) 566-8077
- NPI assigned
- Oct 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Mitchell
- Title
- Cfo
- Phone
- (772) 492-5002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | SNF130470984 | FL | Primary |
Addresses
Primary practice location
7801 Airport Pulling Rd N
Naples, FL 34109-1717
Mailing address
1440 Highway A1A
Vero Beach, FL 32963-2310
Phone (772) 492-5002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026858500 | Medicaid | FL |
Other names 1
- HarborChase of Naples
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1373500800000",
"number": "1932297553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 HIGHWAY A1A",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329632310",
"telephone_number": "772-492-5002",
"fax_number": "772-492-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7801 AIRPORT PULLING RD N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341091717",
"telephone_number": "239-566-8077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME CARE ONE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-10",
"last_updated": "2013-07-11",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "772-492-5002"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "FL",
"license": "SNF130470984",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "026858500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HarborChase of Naples",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.