Provider Demographics
NPI:1386536514
Name:PRIMA HOME CARE LLC
Entity type:Organization
Organization Name:PRIMA HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATAYOUN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMRANPOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-314-4023
Mailing Address - Street 1:825 CONSTELLATION DR
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:22066-2502
Mailing Address - Country:US
Mailing Address - Phone:571-314-4023
Mailing Address - Fax:
Practice Address - Street 1:825 CONSTELLATION DR
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:VA
Practice Address - Zip Code:22066-2502
Practice Address - Country:US
Practice Address - Phone:571-314-4023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health