Primary Nurses Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRIMARY NURSES CARE LLC

Practice address

2140 Riverside Dr Ste C
Upper Arlington, OH 43221-4047

Phone

(614) 706-4647

NPI assigned

Jan 31, 2022

Organization subpart

No

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

Authorized official

Name

Khadra Ali, RN

Title

Owner

Phone

(614) 812-8816

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 369345

Legal name

PRIMARY NURSES CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 28, 2022

Last certification

Dec 15, 2022

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jan 18, 2022 in OH

Enrollment address

2140 Riverside Dr
Ste C
Upper Arlington, OH 43221-4047
HHA Branch

Listed as

Primary Nurses Care LLCCCN 369345

Ownership

Proprietary

Certified

Dec 28, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1972256964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 RIVERSIDE DR STE C",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432214047",
            "telephone_number": "614-706-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 RIVERSIDE DR STE C",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432214047",
            "telephone_number": "614-706-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY NURSES CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "KHADRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-812-8816",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Pingree, DPT
• Macy Porterfield
• Precise Home Health Care
• Frances Elizabeth Preidis, PT06
• Matthew C Price, MS, RN, CNP
• Miriam Edith Kurtz Pumpelly
• Nathaniel Z Raidel, FNP
• Crystal Ransom, APRN-CNP, FNP-C
• Lisa Marie Reed, OTR/L
• Samuel Reeder

• Home Health Agency in Upper Arlington, OH
• Providers in Upper Arlington, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.