MEDICARE: PRIME CARE SERVICES HOME CARE INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	3747P1801X	Personal Care Attendant
2	3747A0650X	Attendant Care Provider
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1982181426
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIME CARE SERVICES HOME CARE INC

Provider Business Mailing Address
First Line	:	4710 WADSWORTH DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75216-7339
Country	:	US
Telephone Number	:	972-262-6400
Fax Number	:	972-262-6544

Provider Business Practice Location Address
First Line	:	4710 WADSWORTH DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75216-7339
Country	:	US
Telephone Number	:	972-262-6400
Fax Number	:	972-262-6544

Authorized Official
Title or Position	:	CEO/ADMINISTRATOR
Name	:	MRS. CAROLYN F GREER
Credential	:	LMSW
Telephone Number	:	972-768-0140

Provider Enumeration Date	:	07/27/2018
Last Update Date	:	10/29/2024

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