Provider Demographics
NPI:1639980535
Name:PRIME CARE ASSOCIATES INC
Entity type:Organization
Organization Name:PRIME CARE ASSOCIATES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMINAH
Authorized Official - Middle Name:
Authorized Official - Last Name:NAMAGEMBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-448-3750
Mailing Address - Street 1:63 MOUNT AUBURN ST STE 1
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-3984
Mailing Address - Country:US
Mailing Address - Phone:617-448-3750
Mailing Address - Fax:
Practice Address - Street 1:63 MOUNT AUBURN ST STE 1
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-3984
Practice Address - Country:US
Practice Address - Phone:617-448-3750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-20
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health