Provider Demographics
NPI:1679371546
Name:PRIME HEALTHCARE SOLUTION LLC
Entity type:Organization
Organization Name:PRIME HEALTHCARE SOLUTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABRTH
Authorized Official - Middle Name:
Authorized Official - Last Name:JUSU
Authorized Official - Suffix:
Authorized Official - Credentials:HEALTH CARE PROVIDER
Authorized Official - Phone:240-691-8154
Mailing Address - Street 1:909 ROSE AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:NORTH BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852-8758
Mailing Address - Country:US
Mailing Address - Phone:240-691-8154
Mailing Address - Fax:
Practice Address - Street 1:909 ROSE AVE STE 400
Practice Address - Street 2:
Practice Address - City:NORTH BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20852-8758
Practice Address - Country:US
Practice Address - Phone:240-691-8154
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health