# PRIME HOME HEALTH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1407490089
- **Authorized official:** MALICK ISSAH (CLINICAL DIRECTOR)
- **Authorized official phone:** (781) 632-7802

## Contact information

- **Practice address:** 47 JOYCE LN, BOXBOROUGH, MA 01719-1534
- **Practice address phone:** (781) 632-7802
- **Mailing address:** 47 JOYCE LN, BOXBOROUGH, MA 01719-1534
- **Mailing address phone:** (781) 632-7802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | — |
| 163WH0200X | Home Health Registered Nurse | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/06/2019
- **Last updated:** 06/25/2020