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General NPI Number Information
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NPI Number | 1043148083
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Entity Type | Organization
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Legal Business Name | PRIME HOME CARE LLC
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Dates
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Enumeration Date | 05/11/2026
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Last Update Date | 05/11/2026
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Provider Practice Location Address
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Address Line | 4516 S 700 E STE 279
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City | SALT LAKE CITY
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State | UT
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Zip | 84107-4192
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Country | US
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Telephone | 801-999-4678
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Fax |
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Provider Business Mailing Address
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Address Line | 7067 W KNOWLEY RD
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City | WEST JORDAN
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State | UT
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Zip | 84081-5099
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Country | US
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Telephone | 801-999-4678
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | PATRICK NSABUMUGABE
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Credential |
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Telephone | 801-999-4678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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