Provider Demographics
NPI:1427518992
Name:PRN PRIMARY HOME CARE LLC
Entity type:Organization
Organization Name:PRN PRIMARY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:DEL CARMEN
Authorized Official - Last Name:WIRZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-301-1302
Mailing Address - Street 1:8825 N LOOP DR STE 119
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79907-4606
Mailing Address - Country:US
Mailing Address - Phone:915-301-1302
Mailing Address - Fax:915-301-1304
Practice Address - Street 1:8825 N LOOP DR STE 119
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79907-4606
Practice Address - Country:US
Practice Address - Phone:915-301-1302
Practice Address - Fax:915-301-1304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-21
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty