Provider Demographics
NPI:1437581691
Name:PRIME MOTION HEALTHCARE
Entity Type:Organization
Organization Name:PRIME MOTION HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMIL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-271-6257
Mailing Address - Street 1:1240 E ONTARIO AVE
Mailing Address - Street 2:SUITE 102-326
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92881-8671
Mailing Address - Country:US
Mailing Address - Phone:951-271-6257
Mailing Address - Fax:951-281-2902
Practice Address - Street 1:1240 E ONTARIO AVE
Practice Address - Street 2:SUITE 102-326
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92881-8671
Practice Address - Country:US
Practice Address - Phone:951-271-6257
Practice Address - Fax:951-281-2902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-30
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health