Provider Demographics
NPI:1013294024
Name:PRIME HOME HEALTH CARE LTD
Entity Type:Organization
Organization Name:PRIME HOME HEALTH CARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REPRESENTATIVE
Authorized Official - Prefix:MR
Authorized Official - First Name:OSMAN
Authorized Official - Middle Name:HASSAN
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-598-3377
Mailing Address - Street 1:2021 E DUBLIN GRANVILLE RD
Mailing Address - Street 2:SUITE 218
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3568
Mailing Address - Country:US
Mailing Address - Phone:614-987-7938
Mailing Address - Fax:614-896-6210
Practice Address - Street 1:2021 E DUBLIN GRANVILLE RD
Practice Address - Street 2:SUITE 218
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3568
Practice Address - Country:US
Practice Address - Phone:614-987-7938
Practice Address - Fax:614-896-6210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-04
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care