PRIME CARE SERVICES INCORPORATED NPI 1326381401

NPI Information

NPI: 1326381401
Provider Name: PRIME CARE SERVICES INCORPORATED

Former Legal Business Name: PRIME HOME CARE INCORPORATED

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
2306 OAK LN STE 206
GRAND PRAIRIE, TX
ZIP 75051
Phone: (214) 418-8240
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PRIME CARE SERVICES INCORPORATED is a multi-specialty clinic center in Grand Prairie, TX. PRIME CARE SERVICES INCORPORATED NPI is 1326381401. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Prime Home Care Incorporated.

The provider's business location address is:

2306 OAK LN STE 206
GRAND PRAIRIE, TX
ZIP 75051-270
Phone: (214) 418-8240
Fax: (972) 262-6544

The provider's authorized official is Edolo Azenabor .
The authorized official title is Administrator and has the following contact phone number (214) 418-8240.

The CLIA number assigned to this NPI record is 45D2248895 - other - house call practice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2013 and was last updated on 1/20/2021.

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	Primary
1	225100000X	Physical Therapist		No
2	363L00000X	Nurse Practitioner		No
3	261QM1300X	Clinic/Center	Multi-Specialty	Yes

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: 5/5/2024

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