Primecare Home Care Services, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

005-R-0400 Issued in GA

Legal business name

PRIMECARE HOME CARE SERVICES, INC.

Practice address

1930 Robin Cir
Milledgeville, GA 31061-2053

Phone

(478) 696-3534

Fax

(478) 451-0224

NPI assigned

May 22, 2009

Last updated

May 26, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joshua Bernard Flournoy

Title

Assistant Administrator

Phone

(478) 696-3534

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1962637728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 ROBIN CIR",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612053",
            "telephone_number": "478-696-3534",
            "fax_number": "478-451-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 ROBIN CIR",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612053",
            "telephone_number": "478-696-3534",
            "fax_number": "478-451-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE HOME CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "FLOURNOY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "478-696-3534",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "005-R-0400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "334519490B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "334519490A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Power Haus Pro Solutions, LLC
• Prabhdeep Brar MD PC
• Preventive & Fitness Healthcare Agency, LLC
• Brittany Shantrel Primas, FNP-BC
• Primecare ABA
• Primecare Hospice & Palliative Inc
• Joy W Pritchett, AUD
• Proactive Home Care Services, Inc.
• Provision Counseling Center LLC
• Publix Super Markets, Inc. (Publix Pharmacy #2003)

• In Home Supportive Care Agency in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.