MEDICARE: PRIME HOMECARE AGENCY 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1609521616
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIME HOMECARE AGENCY LLC

Provider Business Mailing Address
First Line	:	8938 SANIBEL SHORE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-6566
Country	:	US
Telephone Number	:	702-601-5395
Fax Number	:

Provider Business Practice Location Address
First Line	:	8938 SANIBEL SHORE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-6566
Country	:	US
Telephone Number	:	702-601-5395
Fax Number	:

Authorized Official
Title or Position	:	OWNER/VICE PRESIDENT
Name	:	MELISSA MOREL
Credential	:
Telephone Number	:	702-601-5395

Provider Enumeration Date	:	02/17/2022
Last Update Date	:	02/17/2022

Similar Medicare Providers

1962830422 — CRYSTAL CARDOSO
Practice Location Address:

8923 SANIBEL SHORE AVE
LAS VEGAS, NV
89147-6566

Practice Phone: 702-241-1566
Practice Fax:

1275181349 — RIZALDY VILLASFER
Practice Location Address:

8930 SANIBEL SHORE AVE
LAS VEGAS, NV
89147-6566

Practice Phone: 702-606-3989
Practice Fax:

1902420243 — MELANY SAMODAL
Practice Location Address:

8930 SANIBEL SHORE AVE
LAS VEGAS, NV
89147-6566

Practice Phone: 702-334-3682
Practice Fax:

1548886211 — JOSHUA DAVID SOCIA
Practice Location Address:

8930 SANIBEL SHORE AVE
LAS VEGAS, NV
89147-6566

Practice Phone: 503-432-9104
Practice Fax:

1316279342 — SUSAN L MANCONE PT
Practice Location Address:

6749 LAS COLINAS ST
LAKE WORTH, FL
33463-6566

Practice Phone: 561-964-1020
Practice Fax: 561-641-4455

1932525847 — LOURDES HENRY PT
Practice Location Address:

6749 LAS COLINAS ST
LAKE WORTH, FL
33463-6566

Practice Phone: 561-667-0911
Practice Fax:

Directions to “PRIME HOMECARE AGENCY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.