Provider Demographics
NPI:1750015954
Name:PRIME PLUS HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:PRIME PLUS HOME HEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:OJEBE
Authorized Official - Middle Name:OKORIE
Authorized Official - Last Name:IFEGWU
Authorized Official - Suffix:
Authorized Official - Credentials:PUBLIC HEALTH, PHD
Authorized Official - Phone:919-396-3654
Mailing Address - Street 1:7633 KNIGHTDALE BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-9015
Mailing Address - Country:US
Mailing Address - Phone:919-396-3654
Mailing Address - Fax:919-369-3654
Practice Address - Street 1:7633 KNIGHTDALE BLVD STE 103
Practice Address - Street 2:
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-9015
Practice Address - Country:US
Practice Address - Phone:919-369-3654
Practice Address - Fax:919-369-3654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health