Healthcare Provider Details

I. General information

NPI: 1902732381
Provider Name (Legal Business Name): PRIME HEALTHCARE AMERICA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11466 LEATHERBACK CT
JACKSONVILLE FL
32256-8038
US

IV. Provider business mailing address

1200 RIVERPLACE BLVD STE 105
JACKSONVILLE FL
32207-9092
US

V. Phone/Fax

Practice location:
  • Phone: 800-813-3251
  • Fax: 904-877-3697
Mailing address:
  • Phone: 800-813-3251
  • Fax: 904-877-3697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY DARBY
Title or Position: MANAGING MEMBER
Credential:
Phone: 618-960-1549