Healthcare Provider Details

I. General information

NPI: 1891606166
Provider Name (Legal Business Name): PRIME DIRECTIVE HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3240 UNIVERSITY AVE STE 3A
MADISON WI
53705-3570
US

IV. Provider business mailing address

3240 UNIVERSITY AVE STE 3A
MADISON WI
53705-3570
US

V. Phone/Fax

Practice location:
  • Phone: 608-441-8620
  • Fax:
Mailing address:
  • Phone: 608-441-8620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SEAN MORRISON
Title or Position: PRESIDENT
Credential:
Phone: 608-441-8620