PRIME HOME HEALTH SERVICES, INC. (NPI# 1083632715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083632715 |
| Entity Type | Organization |
| Organization Name | PRIME HOME HEALTH SERVICES, INC. |
| Practice Address |
2604 Dempster St Suite 407 Park Ridge IL 60068-8412 |
| Practice Telephone | 8478038550 |
| Practice Fax Number | 8478036819 |
| Mailing Telephone | 8478038550 |
| Mailing Fax Number | 8478036819 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2016-05-18 |
| Authorized Official Name | MR. SAM D FERNANDEZ SR. (PRESIDENT) |
| Authorized Official Telephone | 8478038550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 1010473 | IL | Agencies |
| Street Address |
2604 DEMPSTER ST SUITE 407 |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-8412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457351082 | Clifford W. Rot | Psychologist | 2604 Dempster St, Suite 510, Park Ridge, IL 60068-8412 | 2005-07-26 |
| 1114463916 | Suburban Mobile Ultrasound Services Inc | Clinic/Center | 2604 Dempster St, Ste#112, Park Ridge, IL 60068-8412 | 2017-01-17 |
| 1427447010 | Kt Dental PC | Dentist | 2604 Dempster St, Suite 203, Park Ridge, IL 60068-8412 | 2015-01-20 |
| 1467734178 | Melissa J. Hill | Social Worker | 2604 Dempster St, Ste 306, Park Ridge, IL 60068-8427 | 2011-09-20 |
| 1124355664 | Nancy Landre Phd, P.C. | Clinical Neuropsychologist | 2604 Dempster St, Suite 510, Park Ridge, IL 60068-8412 | 2009-11-04 |
| 1790916724 | Jay A Kim | Pharmacist | 2604 Dempster St, Suite 300, Park Ridge, IL 60068-8412 | 2009-08-08 |
| 1255573127 | Angela T Michelini | Social Worker | 2604 Dempster St, Suite 307, Park Ridge, IL 60068-8412 | 2009-03-24 |
| 1154571693 | April Michelle Anderson | Psychiatry & Neurology | 2604 Dempster St, Suite 307, Park Ridge, IL 60068-8412 | 2008-09-21 |
| 1194972646 | Christine E Fohs | Counselor | 2604 Dempster St, Suite 510, Park Ridge, IL 60068-8412 | 2008-08-26 |
| 1437330917 | Dr. Richard Aronoff, Ltd | Psychologist | 2604 Dempster St, Suite 308, Park Ridge, IL 60068-8412 | 2007-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184954190 | Wound & Rehab Home Health Care, Inc | Home Health | 700 Busse Hwy, Park Ridge, IL 60068-2402 | 2010-01-14 |
| 1801125539 | Platinum Healthcare Services LLC | Home Health | 1420 Renaissance Dr Ste 315, Park Ridge, IL 60068-1343 | 2009-12-08 |
| 1780827840 | Healing To Heal Another Home Healthcare, Inc | Home Health | 1460 Renaissance Dr Ste 403, Park Ridge, IL 60068-1349 | 2009-04-19 |
| 1144495078 | A-abiding Care, Inc. | Home Health | 233 N Northwest Hwy, Park Ridge, IL 60068-3343 | 2008-04-22 |
| 1215136312 | Someone Who Cares Home Health Care Inc | Home Health | 2644 Dempster St Ste 101, Park Ridge, IL 60068-8430 | 2007-07-17 |
| 1245362623 | Chunji-one, Corporation | Home Health | 1460 Renaissance Drive, Suite 411, Park Ridge, IL 60068 | 2007-03-12 |
| 1942340252 | Prime Care Resource, Inc. | Home Health | 1420 Renaissance Dr Ste 410, Park Ridge, IL 60068-1345 | 2007-02-07 |
| 1447296447 | Guardian Angel Home Care, Inc. | Home Health | 1420 Renaissance Dr Ste 215, Park Ridge, IL 60068-1342 | 2006-06-20 |
| 1215975388 | Chicagoland Home Health Provider, Inc. | Home Health | 2644 E Dempster St, Suite 101, Park Ridge, IL 60068-8411 | 2006-06-02 |
| 1093353518 | Guardian Angel Home Care of Park Ridge | Home Health | 1420 Renaissance Dr Ste 215, Park Ridge, IL 60068-1342 | 2019-12-16 |
| Find all providers in PARK RIDGE | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
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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.