Organization
CMS PRIMARY HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMAKA SHANTA GRAHAM (OWNER)
(972) 703-3448
Entity
Organization
Contact information
Practice address
101 E PARK BLVD STE 352, PLANO, TX 75074-5483
(972) 703-3448
(800) 867-0804
Mailing address
101 E PARK BLVD STE 352, PLANO, TX 75074-5704
(318) 779-2326
(800) 867-0804
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
01/18/2021
Last updated
05/09/2025
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