# PRIME PLUS LLC

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

## Provider details

- **NPI number:** 1285510321
- **Authorized official:** MATINA TAMBA (ADMINISTRATOR)
- **Authorized official phone:** (832) 816-0970

## Contact information

- **Practice address:** 7918 JONES BRANCH DR STE 404, MC LEAN, VA 22102-3319
- **Practice address phone:** (443) 673-7240
- **Mailing address:** 7918 JONES BRANCH DR FL 4, MC LEAN, VA 22102-3319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/13/2025
- **Last updated:** 08/13/2025