# PRIMA HOME HEALTH, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164545240
- **Authorized official:** MR. OMAR M ABDI (ADMINISTRATOR)
- **Authorized official phone:** (703) 955-7800

## Contact information

- **Practice address:** 14101 WILLARD ROAD, STE C, CHANTILLY, VA 20151-2934
- **Practice address phone:** (703) 955-7800
- **Practice address fax:** (703) 263-3119
- **Mailing address:** 14101 WILLARD ROAD, STE C, CHANTILLY, VA 20151-2934
- **Mailing address phone:** (703) 955-7800
- **Mailing address fax:** (703) 263-3119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HCO07424 | VA | Yes |

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 05/07/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1164545240 | — | VA |