# PRIME HOME HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Signature Healthcare at Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598716136
- **Authorized official:** MR. ROBERT THOMAS PT, MSPT (PRESIDENT)
- **Authorized official phone:** (971) 979-0774

## Contact information

- **Practice address:** 909 S 336TH ST STE 100, FEDERAL WAY, WA 98003-7394
- **Practice address phone:** (253) 661-5166
- **Practice address fax:** (253) 661-5359
- **Mailing address:** 7632 SW DURHAM RD STE 105, TIGARD, OR 97224-7597
- **Mailing address phone:** (844) 744-2200

## Taxonomy

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

## Other

- **Enumeration date:** 05/15/2006
- **Last updated:** 08/11/2023