Provider Demographics
NPI:1093484719
Name:PRIME CARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:PRIME CARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:
Authorized Official - Last Name:ANKOMAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-991-3015
Mailing Address - Street 1:15500 BOND MILL RD
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5408
Mailing Address - Country:US
Mailing Address - Phone:703-991-3015
Mailing Address - Fax:
Practice Address - Street 1:15500 BOND MILL RD
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5408
Practice Address - Country:US
Practice Address - Phone:703-991-3015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-07
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care