Provider Demographics
NPI:1164252987
Name:PRIME CARE HOME HEALTH SERVICES LLC
Entity type:Organization
Organization Name:PRIME CARE HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:PAMBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-977-2588
Mailing Address - Street 1:1130 TABB ST STE E
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23504-3434
Mailing Address - Country:US
Mailing Address - Phone:757-977-2588
Mailing Address - Fax:757-776-2588
Practice Address - Street 1:1130 TABB ST STE E
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23504-3434
Practice Address - Country:US
Practice Address - Phone:757-977-2588
Practice Address - Fax:757-776-2588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health