Provider Demographics
NPI:1942526256
Name:PRIME WORLD HOME CARE SERVICE INC
Entity Type:Organization
Organization Name:PRIME WORLD HOME CARE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:OPARAOCHAEKWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-453-6400
Mailing Address - Street 1:6 WESTGROVE CT
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-5007
Mailing Address - Country:US
Mailing Address - Phone:817-453-6400
Mailing Address - Fax:817-453-6409
Practice Address - Street 1:6 WESTGROVE CT
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-5007
Practice Address - Country:US
Practice Address - Phone:817-453-6400
Practice Address - Fax:817-453-6409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-12
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health