Prime Star Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PRIME STAR HOME CARE, LLC

Practice address

624 S Berendo St Apt 404
Los Angeles, CA 90005-1749

Phone

(818) 648-2170

NPI assigned

Feb 28, 2024

Organization subpart

No

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

Authorized official

Name

Marco Felix Dimailig

Title

Ceo

Phone

(818) 648-2170

Specialties & licenses 1

Addresses

Practitioners 1

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

• Marco Dimailig

  • Phlebotomy Technician
  • Los Angeles, CA
  • NPI 1376151217
  NPD

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1952168783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 S BERENDO ST APT 404",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051749",
            "telephone_number": "818-648-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 S BERENDO ST APT 404",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051749",
            "telephone_number": "818-648-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME STAR HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "DIMAILIG",
        "authorized_official_first_name": "MARCO FELIX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-648-2170"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Diagnostic Laboratory
• Prime Healthcare Ca, PC
• Prime Orthotics & Prosthetics
• Prime Pharmacy Services Inc
• Prime Psychological Services Inc
• Prime Star Home Health, Inc.
• Prime Transit
• Prime Wellness Community Health Center
• Kathryn Primeau, MSW, ASW
• Primecare Pharmacy Inc (Martin Pharmacy)

• In Home Supportive Care Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.