Provider Demographics
NPI:1942969779
Name:PRIORITY CARE HOME HEALTH LLC
Entity Type:Organization
Organization Name:PRIORITY CARE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUDE
Authorized Official - Middle Name:
Authorized Official - Last Name:EKENTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-402-8127
Mailing Address - Street 1:17610 BELLFLOWER BLVD STE A212
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-8073
Mailing Address - Country:US
Mailing Address - Phone:310-402-8127
Mailing Address - Fax:
Practice Address - Street 1:17610 BELLFLOWER BLVD STE A212
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-8073
Practice Address - Country:US
Practice Address - Phone:310-402-8127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-09
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care