Healthcare Provider Details

I. General information

NPI: 1669385712
Provider Name (Legal Business Name): PRIME CARE HME, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3321 DEL PRADO BLVD S STE 3
CAPE CORAL FL
33904-7263
US

IV. Provider business mailing address

3321 DEL PRADO BLVD S STE 3
CAPE CORAL FL
33904-7263
US

V. Phone/Fax

Practice location:
  • Phone: 239-356-2400
  • Fax: 305-964-7065
Mailing address:
  • Phone: 239-356-2400
  • Fax: 305-964-7065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL

VIII. Authorized Official

Name: YVONNE SUSAN SOTTO
Title or Position: VICE PRESIDENT
Credential:
Phone: 239-356-2400