Organization
COLONIAL PRIME HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN MANGE KIVIHYA (CEO/ADMINISTRATOR/MEMBER)
(413) 309-7395
Entity
Organization
Contact information
Practice address
17 HAMPDEN ST, SPRINGFIELD, MA 01103-1262
(413) 306-3535
Mailing address
17 HAMPDEN ST, SPRINGFIELD, MA 01103-1262
(413) 306-3535
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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