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General NPI Number Information
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NPI Number | 1811233133
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Entity Type | Organization
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Legal Business Name | PRIMETIME HEALTHCARE, INC
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Dates
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Enumeration Date | 12/13/2012
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Last Update Date | 08/27/2013
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Provider Practice Location Address
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Address Line | 6300 HILLCROFT ST STE 490B
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City | HOUSTON
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State | TX
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Zip | 77081-3006
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Country | US
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Telephone | 281-501-1496
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Fax | 281-888-9633
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Provider Business Mailing Address
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Address Line | 6300 HILLCROFT ST STE 490B
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City | HOUSTON
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State | TX
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Zip | 77081-3006
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Country | US
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Telephone | 281-501-1496
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Fax | 281-888-9633
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Authorized Official
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Title or Position | ADMINISTRTATOR
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Name | MFON T COLEMAN
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Credential |
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Telephone | 281-501-1496
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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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