Provider Demographics
NPI:1962373282
Name:PRIMECARE PROVIDERS LLC
Entity type:Organization
Organization Name:PRIMECARE PROVIDERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLUWASEYI
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:OKAFOR
Authorized Official - Suffix:
Authorized Official - Credentials:BSC
Authorized Official - Phone:470-667-1205
Mailing Address - Street 1:3414 CHATTAHOOCHEE CIR
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-5123
Mailing Address - Country:US
Mailing Address - Phone:470-667-1205
Mailing Address - Fax:470-667-1205
Practice Address - Street 1:8735 DUNWOODY PL # 11118
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350-2995
Practice Address - Country:US
Practice Address - Phone:470-667-1205
Practice Address - Fax:470-667-1205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care