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NPI Code Detail

MEDICARE: PRIMECARE LIVING LLC

MEDICARE: PRIMECARE LIVING LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1699641209
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIMECARE LIVING LLC
Provider Business Mailing Address
First Line : 3179 CLEVELAND AVE STE B1
Second Line :
City : COLUMBUS
State : OH
Zip : 43224-3606
Country : US
Telephone Number : 614-462-9111
Fax Number :
Provider Business Practice Location Address
First Line : 3179 CLEVELAND AVE STE B1
Second Line :
City : COLUMBUS
State : OH
Zip : 43224-3606
Country : US
Telephone Number : 614-462-9111
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ADNA ALI DIRIE
Credential :
Telephone Number : 614-462-9111
Provider Enumeration Date : 10/13/2025
Last Update Date : 10/13/2025

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Directions to “PRIMECARE LIVING LLC ” Practice Location

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