Provider Demographics
NPI:1073325627
Name:MULTI CARE PRIME LLC
Entity type:Organization
Organization Name:MULTI CARE PRIME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEVINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KAKOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-410-5271
Mailing Address - Street 1:140 WILLIAMS ST APT 2
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02150-3873
Mailing Address - Country:US
Mailing Address - Phone:617-410-5271
Mailing Address - Fax:
Practice Address - Street 1:140 WILLIAMS ST APT 2
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150-3873
Practice Address - Country:US
Practice Address - Phone:617-410-5271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251E00000XAgenciesHome Health