Provider Demographics
NPI:1881037562
Name:PRIMELIVING HOME HEALTH, INC.
Entity Type:Organization
Organization Name:PRIMELIVING HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:PLONSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-770-9810
Mailing Address - Street 1:48521 WARM SPRINGS BLVD STE 307A
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-7796
Mailing Address - Country:US
Mailing Address - Phone:510-770-9810
Mailing Address - Fax:
Practice Address - Street 1:48521 WARM SPRINGS BLVD STE 307A
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-7796
Practice Address - Country:US
Practice Address - Phone:510-770-9810
Practice Address - Fax:510-770-9841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-11
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health