PRIMESHIRE LLC


Address: 3611 Maplewood Ave, Apartment 113, Wichita Falls, TX 76308-2140
Phone: 9402280596

PRIMESHIRE LLC (NPI# 1144569286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144569286
Entity Type Organization
Organization Name PRIMESHIRE LLC
Practice Address 3611 Maplewood Ave
Apartment 113
Wichita Falls
TX 76308-2140
Practice Telephone 9402280596
Mailing Telephone 9402280596
Enumeration Date 2013-02-09
Last Update Date 2013-02-09
Authorized Official Name IBUKUNOLUWA AJIBADE OGUNYINKA (ADMINISTRATOR)
Authorized Official Telephone 9402280596
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health Agencies

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities PRIMESHIRE LLC 4803 Lindale Drive, Wichita Falls, TX 76310-2620

Office Location

Street Address 3611 MAPLEWOOD AVE
APARTMENT 113
City WICHITA FALLS
State TX
Zip Code 76308-2140

Providers in the same zip code

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1467098434 D Esthetique Cosmetic &laser Center Nurse Practitioner 3916 Callfield Road, Suite 300, Wichita Falls, TX 76308 2019-11-25
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1891295465 Kelli Dawn Francis Licensed Vocational Nurse 4401 Randel, Wichita Falls, TX 76308 2018-02-20
1548789639 Team Thin and Fit, Pllc Preventive Medicine 3602 Grant Street, Wichita Falls, TX 76308 2017-09-11
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366816654 Bbwk Enterprises LLC Home Health 1106 Travis St Ste 130, Wichita Falls, TX 76301-4675 2015-11-24
1457722449 Healing Hands Healthcare Home Health 901 Indiana Ave, Suite 665, Wichita Falls, TX 76301-6719 2015-10-15
1174955413 Encompass of Fort Worth, Lp Home Health 4001 Cedar Elm Ln, Wichita Falls, TX 76308-3031 2013-08-08
1386901171 Light Junction Pediatric Home Health LLC Home Health 905 9th St, Ste 7, Wichita Falls, TX 76301-3423 2012-04-18
1508098161 Integracare of Wichita Falls, LLC Home Health 4309 Old Jacksboro Hwy, Suite F, Wichita Falls, TX 76302-2740 2009-08-17
1780814301 Bestcare Specialty Services, Inc. Home Health 3908 Kell Blvd. West, Apt. 236, Wichita Falls, TX 76309 2009-07-16
1316182421 Bbwk Enterprises LLC Home Health 1106 Travis St, Suite 130, Wichita Falls, TX 76301-4676 2008-12-04
1104095553 South Plains Community Actio Association, Inc. Home Health 227 N Beverly Dr, Wichita Falls, TX 76306-4123 2008-02-29
1366629487 Caprock Home Health Service, Inc. Home Health 2824 Elmwood Ave, Suite 2, Wichita Falls, TX 76308-4746 2008-01-31
1699817007 Healthpro Home Health Services Home Health 3913 Call Field Rd, Suite A, Wichita Falls, TX 76308-2640 2007-02-13
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Competitor

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City WICHITA FALLS
Zip Code 76308

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Dataset Information

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.

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