PRIMARY HOMECARE LLC NPI 1629023593

NPI Information

  • NPI: 1629023593
  • Provider Name: PRIMARY HOMECARE, LLC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 8118 OLD YORK RD
    SUITE D
    ELKINS PARK, PA
    ZIP 19027
  • Phone: (215) 635-3151

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NPI Details

PRIMARY HOMECARE, LLC is a primary care nurse practitioner in Elkins Park, PA. PRIMARY HOMECARE, LLC NPI is 1629023593. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8118 OLD YORK RD
SUITE D
ELKINS PARK, PA
ZIP 19027-423
Phone: (215) 635-3151
Fax: (215) 635-3165

The provider's authorized official is Lisa Gill .
The authorized official title is Cco and has the following contact phone number (215) 635-3151.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 2/15/2023.

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
1363LG0600XNurse PractitionerGerontologyNo
2363LP2300XNurse PractitionerPrimary CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1101916277 0001MEDICAIDPENNSYLVANIA
20018226880010MEDICAIDPENNSYLVANIA

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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