Healthcare Provider Details
I. General information
NPI: 1588595011
Provider Name (Legal Business Name): KPRIME HOME CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1503 DERBYSHIRE RD
YARDLEY PA
19067-4735
US
IV. Provider business mailing address
1503 DERBYSHIRE RD
YARDLEY PA
19067-4735
US
V. Phone/Fax
- Phone: 215-839-2706
- Fax:
- Phone: 215-839-2706
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DEBORAH
PARKER-SMITH
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 609-968-4940