Provider Demographics
NPI:1043095714
Name:PRIME HEALTH NETWORK LLC
Entity type:Organization
Organization Name:PRIME HEALTH NETWORK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-338-2417
Mailing Address - Street 1:11010 N KENDALL DR STE 100B
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1205
Mailing Address - Country:US
Mailing Address - Phone:305-274-6471
Mailing Address - Fax:305-396-8904
Practice Address - Street 1:11010 N KENDALL DR STE 100B
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1205
Practice Address - Country:US
Practice Address - Phone:305-274-6471
Practice Address - Fax:305-396-8904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health