Organization
PRIME HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE K ROSS MCHA (OWNER)
(402) 390-2492
Entity
Organization
Contact information
Practice address
6818 GROVER ST, SUITE 201, OMAHA, NE 68106-3640
(402) 390-2492
(402) 390-9070
Mailing address
6818 GROVER ST, SUITE 201, OMAHA, NE 68106-3640
(402) 390-2492
(402) 390-9070
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA1042
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025193300
—
NE
Enumeration date
07/08/2006
Last updated
04/20/2012
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