PRIME HEALTHCENTRAL (NPI# 1710218540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710218540 |
| Entity Type | Organization |
| Organization Name | PRIME HEALTHCENTRAL |
| Other Organization Name | MEDICKASS INTERNATIONAL HEALTH |
| Practice Address |
630 Datura St Apt 12-a West Palm Beach FL 33401-5314 |
| Mailing Address |
3540 Nw 121st Ave Box 451447 Sunrise FL 33323-3302 |
| Practice Telephone | 9548897134 |
| Mailing Telephone | 9548897134 |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2011-05-12 |
| Authorized Official Name | DR. CLAUDE KASSIM (PRESIDENT) |
| Authorized Official Telephone | 9548897134 |
| Authorized Official Credential | DO,MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 251K00000X | Public Health or Welfare | Agencies | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Medickass International Health | Doing Business As Name - Organization |
| Street Address |
630 DATURA ST APT 12-A |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33401-5314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371882 | Curt David Miller | Nurse Practitioner | 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 | 2020-09-22 |
| 1699338152 | Carly N Lupo | Social Worker | 700 S Rosemary Ave, Suite 204 Ofc 101, West Palm Beach, FL 33401 | 2019-04-19 |
| 1740752625 | Latasha Harper | Specialist | 512 N St, West Palm Beach, FL 33401 | 2018-12-17 |
| 1124595640 | Elin Nordegren | Counselor | 1555 Palm Beach Lakes Blvd Suite 1560, West Palm Beach, FL 33401 | 2018-11-02 |
| 1205318664 | Phanette Turene | Behavior Technician | 1720 N Congress Ave Apt B207, West Palm Beach, FL 33401 | 2018-09-02 |
| 1790277002 | Ashley Zarda | Developmental Therapist | 253 8th St, West Palm Beach, FL 33401 | 2018-06-01 |
| 1487162988 | Pinnacle Counseling Service Pllc | Social Worker | 1900 S Olive Avenue, West Palm Beach, FL 33401 | 2018-01-18 |
| 1245754027 | Patricia Caroscio | Dental Hygienist | 800 Clematis Street, West Palm Beach, FL 33401 | 2017-08-02 |
| 1255852562 | Dermnow Pa | Dermatology | 1500 N Flasler Dr #, 101, West Palm Beach, FL 33401 | 2017-06-28 |
| 1699204289 | Edward Gerardo Ortiz | Counselor | 1639 Forum Place Suite #7, West Palm Beach, West Palm Beach, FL 33401 | 2017-06-07 |
| Find all providers in zip 33401 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518578079 | P&m Healthcare, LLC | In Home Supportive Care | 2101 Vista Pkwy Ste 245, West Palm Beach, FL 33411-2706 | 2020-08-10 |
| 1518582436 | All-most Family, Inc | In Home Supportive Care | 4047 Okeechobee Blvd., Suite 110, West Palm Beach, FL 33409 | 2020-06-16 |
| 1881223352 | K L Janes Enterprises, LLC | In Home Supportive Care | 3218 Spruce Ave, West Palm Beach, FL 33407-5154 | 2020-04-06 |
| 1659910115 | Rightcare Solutions LLC | In Home Supportive Care | 801 S Olive Ave Ste 113, West Palm Beach, FL 33401-6128 | 2020-01-02 |
| 1861051021 | Monica Eads | In Home Supportive Care | 4047 Okeechobee Blvd Ste 110, West Palm Beach, FL 33409-3236 | 2019-06-11 |
| 1821552522 | Joshua Lichtenstein | In Home Supportive Care | 1181 Madison Chase Apt 6, West Palm Beach, FL 33411-3298 | 2019-01-27 |
| 1225520604 | Jannef Home Care, LLC | In Home Supportive Care | 3088 Waddell Ave, West Palm Beach, FL 33411-6406 | 2018-06-01 |
| 1285141473 | Choices Home Care LLC. | In Home Supportive Care | 4254 Maggiore Way, West Palm Beach, FL 33409-7800 | 2018-01-09 |
| 1780198697 | Blessing Angels LLC | In Home Supportive Care | 1489 N Military Trl Ste 208e, West Palm Beach, FL 33409-6057 | 2017-11-30 |
| 1619420411 | Teresa Mohorn | In Home Supportive Care | 1170 Winding Rose Way, West Palm Beach, FL 33415-4478 | 2016-07-27 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.