Provider Demographics
NPI:1972256964
Name:PRIMARY NURSES CARE LLC
Entity Type:Organization
Organization Name:PRIMARY NURSES CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KHADRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-812-8816
Mailing Address - Street 1:2140 RIVERSIDE DR STE C
Mailing Address - Street 2:
Mailing Address - City:UPPER ARLINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43221-4047
Mailing Address - Country:US
Mailing Address - Phone:614-706-4647
Mailing Address - Fax:
Practice Address - Street 1:2140 RIVERSIDE DR STE C
Practice Address - Street 2:
Practice Address - City:UPPER ARLINGTON
Practice Address - State:OH
Practice Address - Zip Code:43221-4047
Practice Address - Country:US
Practice Address - Phone:614-706-4647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-31
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health