Provider Demographics
NPI:1215546312
Name:PRIPHEMMA HOMECARE LLC
Entity Type:Organization
Organization Name:PRIPHEMMA HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADUGYAMFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-858-1798
Mailing Address - Street 1:469 HOSPITAL DR STE E
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-4779
Mailing Address - Country:US
Mailing Address - Phone:704-858-1798
Mailing Address - Fax:
Practice Address - Street 1:469 HOSPITAL DR STE E
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-4779
Practice Address - Country:US
Practice Address - Phone:704-317-7405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-24
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care