| Organization Name: | PRIME HOME CARE SERVICES INC |
| NPI Number: | 1063735975 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REBECCA OPONE RITZ (PRESIDENT/CEO) |
| Mailing Address: | 18340 Ventura Blvd Ste 212 Tarzana |
| State: | CA US |
| Postal Code: | 913564234 |
| Phone Number: | 8187053988 |
| Fax Number: | 8187050375 |
| NPI Enumeration Date: | 03/05/2010 |
| NPI Last Update Date: | 03/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 2811304 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |