PRIMECARE ADVANTAGE LLC NPI 1164648069

NPI Information

  • NPI: 1164648069
  • Provider Name: PRIMECARE ADVANTAGE LLC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 141 NW 35TH CT
    OAKLAND PARK, FL
    ZIP 33309
  • Phone: (954) 567-0665

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NPI Details

PRIMECARE ADVANTAGE LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Oakland Park, FL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. PRIMECARE ADVANTAGE LLC NPI is 1164648069. The provider is registered as an organization entity type.

The provider's business location address is:

141 NW 35TH CT
OAKLAND PARK, FL
ZIP 33309-209
Phone: (954) 567-0665
Fax: (954) 567-0665

The provider's authorized official is Kimberly M. Hay .
The authorized official title is Operating Manager and has the following contact phone number (954) 292-6393.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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