Prime Care Home Health Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

05-003155-1 Issued in IN

Legal business name

PRIME CARE HOME HEALTH SERVICES

Practice address

2632 W 81St Ave
Merrillville, IN 46410-5235

Phone

(219) 769-6896

Fax

(219) 769-7032

NPI assigned

May 27, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Afzal J Malik

Title

Administrator

Phone

(219) 769-6896

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1962405530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 W 81ST AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105235",
            "telephone_number": "219-769-6896",
            "fax_number": "219-769-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 W 81ST AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105235",
            "telephone_number": "219-769-6896",
            "fax_number": "219-769-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "AFZAL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "219-769-6896",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "05-003155-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200399260A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.