Provider Demographics
NPI:1285457804
Name:PRIMER HEALTHCARE AGENCY LLC
Entity type:Organization
Organization Name:PRIMER HEALTHCARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OBERGE
Authorized Official - Middle Name:
Authorized Official - Last Name:JANVIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-222-3255
Mailing Address - Street 1:61 MARTIN LN
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-1173
Mailing Address - Country:US
Mailing Address - Phone:609-222-3255
Mailing Address - Fax:609-245-0078
Practice Address - Street 1:61 MARTIN LN
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-1173
Practice Address - Country:US
Practice Address - Phone:609-222-3255
Practice Address - Fax:609-245-0078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-02
Last Update Date:2024-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health