PRIME HOME HEALTH SERVICES, INC. – Home Health Agency, NPI 1083632715

PRIME HOME HEALTH SERVICES, INC. is a healthcare provider. based in Park ridge, Illinois. specializing in Home Health Agency. The organization holds a License No. 1010473 (IL). The NPI Number for PRIME HOME HEALTH SERVICES, INC. is 1083632715

Main info

Organization
Name
PRIME HOME HEALTH SERVICES, INC.
NPI
1083632715
Phone
(847) 803-8550
Address
2604 DEMPSTER ST
Authorized Official
MR. SAM D FERNANDEZ SR. PRESIDENT
Enumeration Date
18 July 2006
Last Update Date
18 May 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for PRIME HOME HEALTH SERVICES, INC.

  • Dempster Street, Buffalo, Erie County, New York, 14206, United States

    SUITE 407

    PARK RIDGE, IL 600688412

    Phone: (847) 803-8550

    Fax: (847) 803-6819

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-07-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20050727000289OHome Health AgencyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60068)

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Reviews

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Frequently asked questions

How do payers reference PRIME HOME HEALTH SERVICES, INC.?
For PRIME HOME HEALTH SERVICES, INC., use NPI 1083632715 as the unique 10-digit identifier.
Active or inactive — what applies to PRIME HOME HEALTH SERVICES, INC.?
You should see PRIME HOME HEALTH SERVICES, INC. as active in CMS-hosted NPPES data.
What clinical focus is listed for PRIME HOME HEALTH SERVICES, INC.?
At a glance, PRIME HOME HEALTH SERVICES, INC. is tied to Home Health Agency. Clinical services aligned with this taxonomy classification.
What locale is associated with PRIME HOME HEALTH SERVICES, INC.?
Directory geography for PRIME HOME HEALTH SERVICES, INC. centers on Park Ridge, Illinois.
Can I trust this NPI listing for PRIME HOME HEALTH SERVICES, INC.?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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