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NPI Code Detail

MEDICARE: PRIMECARE HOME HEALTH LLC

MEDICARE: PRIMECARE HOME HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1356884977
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIMECARE HOME HEALTH LLC
Provider Business Mailing Address
First Line : 20600 CHAGRIN BLVD STE 410
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-5340
Country : US
Telephone Number : 380-231-8472
Fax Number : 866-595-0043
Provider Business Practice Location Address
First Line : 20600 CHAGRIN BLVD STE 410
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-5340
Country : US
Telephone Number : 380-231-8472
Fax Number : 866-595-0043
Authorized Official
Title or Position : CEO
Name : MR. MOHAMED HASSAN ABDILLAHI
Credential :
Telephone Number : 614-525-9200
Provider Enumeration Date : 11/30/2016
Last Update Date : 02/03/2026

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Directions to “PRIMECARE HOME HEALTH LLC ” Practice Location

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