MEDICARE: PRIMECARE HOME HEALTHCARE 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	385H00000X	Respite Care
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1831928910
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIMECARE HOME HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	559 SLATE LN
Second Line	:
City	:	BLACKLICK
State	:	OH
Zip	:	43004-8346
Country	:	US
Telephone Number	:	614-397-0072
Fax Number	:

Provider Business Practice Location Address
First Line	:	559 SLATE LN
Second Line	:
City	:	BLACKLICK
State	:	OH
Zip	:	43004-8346
Country	:	US
Telephone Number	:	614-397-0072
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RAHIM M AHMED
Credential	:
Telephone Number	:	614-397-0072

Provider Enumeration Date	:	07/29/2024
Last Update Date	:	04/07/2026

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