Provider Demographics
NPI:1457826398
Name:PRICARE HEALTH LLC
Entity Type:Organization
Organization Name:PRICARE HEALTH LLC
Other - Org Name:PORT RICHEY HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:EHIMIKA
Authorized Official - Last Name:OHIHOIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-271-7553
Mailing Address - Street 1:4269 MAPLEHURST WAY
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-0656
Mailing Address - Country:US
Mailing Address - Phone:727-271-7553
Mailing Address - Fax:
Practice Address - Street 1:6506 EMBASSY BLVD
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-4734
Practice Address - Country:US
Practice Address - Phone:727-378-2987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-08
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care