Primetime Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

364415 Issued in MN

Legal business name

PRIMETIME LIVING

Practice address

105 N Broadway
Rochester, MN 55906-3720

Phone

(507) 258-5071

NPI assigned

Aug 19, 2014

Organization subpart

No

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

Authorized official

Name

Aisha Kassim

Title

Chief Adminstrative Officer

Phone

(507) 258-5071

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1942609698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N BROADWAY",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559063720",
            "telephone_number": "507-258-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N BROADWAY",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559063720",
            "telephone_number": "507-258-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMETIME LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "KASSIM",
        "authorized_official_first_name": "AISHA",
        "authorized_official_title_or_position": "CHIEF ADMINSTRATIVE OFFICER",
        "authorized_official_telephone_number": "507-258-5071"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "364415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikel Prieto, M.D.
• Abbigail Faye Prigge
• Bradly Prigge
• Kimberly A Prigge, CNP
• Prime Time Elder Care, LLC
• Katherine Rachel Prinsen, CNP
• Rachael Lyann Printz, APRN, CRNA
• Rose J Prissel, RD, CDE, LD
• Christina Lynn Pristash, M.S., LMFT
• Caroline Rose Pristupa, PA-C

• Assisted Living Facility in Rochester, MN
• Providers in Rochester, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.