Provider Demographics
NPI:1639577836
Name:PRIME PERSONAL CARE HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:PRIME PERSONAL CARE HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:GUIRLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAINT-PREUX
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:973-677-7000
Mailing Address - Street 1:PO BOX 505
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07019-0505
Mailing Address - Country:US
Mailing Address - Phone:973-677-7000
Mailing Address - Fax:973-677-7085
Practice Address - Street 1:614 CENTRAL AVE
Practice Address - Street 2:SUITE 17
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-1954
Practice Address - Country:US
Practice Address - Phone:973-677-7000
Practice Address - Fax:973-677-7085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-21
Last Update Date:2014-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHPO197500251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health