Healthcare Provider Details

I. General information

NPI: 1730011693
Provider Name (Legal Business Name): PRIME HEALTH CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

549 E 32ND ST
INDIANAPOLIS IN
46205-3871
US

IV. Provider business mailing address

549 E 32ND ST
INDIANAPOLIS IN
46205-3871
US

V. Phone/Fax

Practice location:
  • Phone: 301-675-5755
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. HELEN KEMBUMBARA
Title or Position: CEO
Credential:
Phone: 301-675-5755