# PRIME COMMUNITY CARE, LLC

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

## Provider details

- **NPI number:** 1841024643
- **Authorized official:** KENNY HA (VP OF BUSINESS DEVELOPMENT)
- **Authorized official phone:** (626) 922-5685

## Contact information

- **Practice address:** 15200 E GIRARD AVE STE 3150, AURORA, CO 80014-5063
- **Practice address phone:** (424) 326-8910
- **Practice address fax:** (424) 326-8910
- **Mailing address:** 180 E OCEAN BLVD STE 250, LONG BEACH, CA 90802-4709
- **Mailing address phone:** (424) 326-8910
- **Mailing address fax:** (424) 329-8910

## Taxonomy

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

## Other

- **Enumeration date:** 08/26/2024
- **Last updated:** 08/26/2024
