Healthcare Provider Details

I. General information

NPI: 1043197890
Provider Name (Legal Business Name): PRIME CARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2025
Last Update Date: 10/16/2026
Certification Date: 10/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 34TH AVE S APT 231
FARGO ND
58104-7312
US

IV. Provider business mailing address

4420 CALICO DR S APT 315
FARGO ND
58104-5580
US

V. Phone/Fax

Practice location:
  • Phone: 701-220-9921
  • Fax:
Mailing address:
  • Phone: 701-220-9921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TAMBAH SAAH JR.
Title or Position: CEO
Credential:
Phone: 701-220-9921