MEDICARE: PRIMECARE AT HOME 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
1	376J00000X	Homemaker

General Provider Information

NPI Number	:	1407704844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIMECARE AT HOME LLC

Provider Business Mailing Address
First Line	:	515 N FLAGLER DR STE 350
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-4349
Country	:	US
Telephone Number	:	561-729-7147
Fax Number	:

Provider Business Practice Location Address
First Line	:	4433 BOATMAN ST
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-3417
Country	:	US
Telephone Number	:	561-729-7147
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NEYVIS REYES VALDRIA
Credential	:
Telephone Number	:	561-729-7147

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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Directions to “PRIMECARE AT HOME LLC ” Practice Location

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