Healthcare Provider Details

I. General information

NPI: 1609411420
Provider Name (Legal Business Name): CAREPRIMA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2019
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1175 NOE BIXBY RD STE A
COLUMBUS OH
43213-3530
US

IV. Provider business mailing address

5979 E LIVINGSTON AVE STE 102
COLUMBUS OH
43232-2908
US

V. Phone/Fax

Practice location:
  • Phone: 614-300-0723
  • Fax:
Mailing address:
  • Phone: 614-300-0723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: PAULETTE HAMILTON
Title or Position: GENERAL MANAGER
Credential:
Phone: 614-300-0723