Primary Personal Services LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

PRIMARY PERSONAL SERVICES LLC

Practice address

10810 N Tatum Blvd Ste 102-1010
Phoenix, AZ 85028-6055

Phone

(317) 658-9315

Fax

(317) 707-9457

NPI assigned

Feb 28, 2025

Organization subpart

No

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

Authorized official

Name

Rieketta Willis

Title

Manager

Phone

(317) 779-3108

Specialties & licenses 1

Addresses

Other names 1

• Primary Personal Services LLC Doing business as

Locations

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1962209684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 N TATUM BLVD STE 102-1010",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286055",
            "telephone_number": "317-658-9315",
            "fax_number": "317-707-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 N TATUM BLVD STE 102-1010",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286055",
            "telephone_number": "317-658-9315",
            "fax_number": "317-707-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY PERSONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "RIEKETTA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "317-779-3108"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Personal Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Aide in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Home Health Aide in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.