| Organization Name: | PRIME HOME CARE LLC |
| NPI Number: | 1265589220 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TAMMY KIRSCH (ADMINISTRATOR) |
| Mailing Address: | 6818 Grover St Suite 201 Omaha |
| State: | NE US |
| Postal Code: | 681063640 |
| Phone Number: | 4023902492 |
| Fax Number: | 4023909070 |
| NPI Enumeration Date: | 01/04/2007 |
| NPI Last Update Date: | 04/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | HOSPICE33 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |