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General NPI Number Information
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NPI Number | 1356884977
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Entity Type | Organization
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Legal Business Name | PRIMECARE HOME HEALTH LLC
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Dates
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Enumeration Date | 11/30/2016
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 20600 CHAGRIN BLVD STE 410
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44122-5340
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Country | US
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Telephone | 380-231-8472
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Fax | 866-595-0043
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Provider Business Mailing Address
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Address Line | 20600 CHAGRIN BLVD STE 410
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44122-5340
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Country | US
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Telephone | 380-231-8472
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Fax | 866-595-0043
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Authorized Official
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Title or Position | CEO
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Name | MR. MOHAMED HASSAN ABDILLAHI
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Credential |
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Telephone | 614-525-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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