# PRIMARY HOME HEALTH CARE, INC.

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

## Provider details

- **NPI number:** 1376991893
- **Authorized official:** MS. DIANA LOUISE PRIME R.N. (VICE-PRESIDENT)
- **Authorized official phone:** (719) 577-4272

## Contact information

- **Practice address:** 111 E POLK STREET, COLORADO SPRINGS, CO 80907-6227
- **Practice address phone:** (719) 577-4272
- **Practice address fax:** (719) 227-9272
- **Mailing address:** 111 E. POLK STREET, COLORADO SPRINGS, CO 80907-6227
- **Mailing address phone:** (719) 577-4272
- **Mailing address fax:** (719) 227-9272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 04K988 | CO | — |
| 253Z00000X | In Home Supportive Care Agency | 04O244 | CO | Yes |

## Other

- **Enumeration date:** 05/25/2016
- **Last updated:** 01/19/2022