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MARY PRIMM NPI 1720494289


NPI Information

NPI: 1720494289
Provider Name: MARY PRIMM
Classification: Home Health Aide - 374U00000X
Entity Type: Individual
Address:
3838 E 146TH ST
CLEVELAND, OH
ZIP 44128
Phone: (216) 296-0179
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Mary Primm is a home health aide in Cleveland, OH. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. Mary Primm NPI is 1720494289. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3838 E 146TH ST
CLEVELAND, OH
ZIP 44128-021
Phone: (216) 296-0179

The enumeration date for this NPI number is 7/6/2014 and was last updated on 5/5/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1376K00000XNurse's Aide400639960707OHIONo
2374U00000XHome Health Aide0081238OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1400639960707OTHEROHIOSTATE OF OHIO
20081238MEDICAIDOHIO

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.