Healthcare Provider Details

I. General information

NPI: 1972416022
Provider Name (Legal Business Name): PRIMEHAVEN LLC
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

350 ROUTE 108
SOMERSWORTH NH
03878-1562
US

IV. Provider business mailing address

PO BOX 746
CONCORD NH
03302-0746
US

V. Phone/Fax

Practice location:
  • Phone: 603-692-8612
  • Fax:
Mailing address:
  • Phone: 603-692-8612
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: LIBAN GURHAN
Title or Position: OWNER
Credential:
Phone: 603-692-8612