Organization Active NPI

Prime Home Healthcare Services, LLC

  • Nursing Care Agency
  • Chicago, IL
National Provider Identifier
1952065369
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
PRIME HOME HEALTHCARE SERVICES, LLC
Practice address
7238 N Bell Ave
Chicago, IL 60645-2004
Phone
(312) 690-9087
NPI assigned
Oct 22, 2021
Last updated
Oct 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Authorized official

Name
Mr. Solomon Bankole Bada I, MD
Title
Manager
Phone
(312) 690-9087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X NU Primary

Addresses

Primary practice location

7238 N Bell Ave
Chicago, IL 60645-2004

Mailing address

7238 N Bell Ave
Chicago, IL 60645-2004
Phone (312) 690-9087

National Provider Directory

National Provider Directory
Tax ID family
Prime Home Healthcare Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1952065369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7238 N BELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452004",
            "telephone_number": "312-690-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7238 N BELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452004",
            "telephone_number": "312-690-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HOME HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "BADA",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_middle_name": "BANKOLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "312-690-9087",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.