Provider Demographics
NPI:1275315780
Name:PRIME CARE HOME HEALTH INC
Entity Type:Organization
Organization Name:PRIME CARE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:IGEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-975-8448
Mailing Address - Street 1:2121 S ONEIDA ST STE 100
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-2550
Mailing Address - Country:US
Mailing Address - Phone:720-975-8448
Mailing Address - Fax:720-789-7219
Practice Address - Street 1:2121 S ONEIDA ST STE 100
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-2550
Practice Address - Country:US
Practice Address - Phone:720-975-8448
Practice Address - Fax:720-789-7219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care