Provider Demographics
NPI:1730069642
Name:TPRIME SERVICES LLC
Entity type:Organization
Organization Name:TPRIME SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EBELE
Authorized Official - Middle Name:T
Authorized Official - Last Name:IZUEGBUNAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-738-6750
Mailing Address - Street 1:4444 OLD WOODLAND DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-1968
Mailing Address - Country:US
Mailing Address - Phone:757-738-6750
Mailing Address - Fax:
Practice Address - Street 1:4444 OLD WOODLAND DR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-1968
Practice Address - Country:US
Practice Address - Phone:757-738-6750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services