Provider Demographics
NPI:1053852095
Name:PRIMECARE LINK SERVICES LLC
Entity Type:Organization
Organization Name:PRIMECARE LINK SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:JOSIAH
Authorized Official - Last Name:KAHARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-475-5735
Mailing Address - Street 1:10935 ESTATE LN STE S245
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-2316
Mailing Address - Country:US
Mailing Address - Phone:214-343-8554
Mailing Address - Fax:
Practice Address - Street 1:10935 ESTATE LN STE S245
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-2316
Practice Address - Country:US
Practice Address - Phone:214-343-8554
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-09
Last Update Date:2017-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1053852095OtherNPI