Provider Demographics
NPI:1508835620
Name:PRIMA HOME HEALTH LLC
Entity Type:Organization
Organization Name:PRIMA HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRINGTON
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:COOMBS
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:954-731-4511
Mailing Address - Street 1:3500 N STATE ROAD 7
Mailing Address - Street 2:SUITE 499
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33319-5600
Mailing Address - Country:US
Mailing Address - Phone:954-731-4511
Mailing Address - Fax:954-485-1082
Practice Address - Street 1:3500 N STATE ROAD 7
Practice Address - Street 2:SUITE 499
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33319-5600
Practice Address - Country:US
Practice Address - Phone:954-731-4511
Practice Address - Fax:954-485-1082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA 299992155251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health