Provider Demographics
NPI:1255840310
Name:PRIMECASE MANAGEMENT LLC
Entity Type:Organization
Organization Name:PRIMECASE MANAGEMENT LLC
Other - Org Name:PRIMECASE MANAGEMENT LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAVON
Authorized Official - Middle Name:N
Authorized Official - Last Name:BRADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-230-1918
Mailing Address - Street 1:1652 GREGG AVE
Mailing Address - Street 2:UNIT A
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501
Mailing Address - Country:US
Mailing Address - Phone:843-230-1918
Mailing Address - Fax:
Practice Address - Street 1:210 3RD LOOP RD
Practice Address - Street 2:15A
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-3111
Practice Address - Country:US
Practice Address - Phone:843-230-1918
Practice Address - Fax:843-230-1918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-21
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies