# PRIME STAR HOME CARE, LLC

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

## Provider details

- **NPI number:** 1952168783
- **Authorized official:** MARCO FELIX DIMAILIG (CEO)
- **Authorized official phone:** (818) 648-2170

## Contact information

- **Practice address:** 624 S BERENDO ST APT 404, LOS ANGELES, CA 90005-1749
- **Practice address phone:** (818) 648-2170
- **Mailing address:** 624 S BERENDO ST APT 404, LOS ANGELES, CA 90005-1749
- **Mailing address phone:** (818) 648-2170

## Taxonomy

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

## Other

- **Enumeration date:** 02/28/2024
- **Last updated:** 02/28/2024