PRIME CARE RESOURCE, INC. – Home Health Agency, NPI 1942340252

PRIME CARE RESOURCE, INC. is a healthcare provider. based in Park ridge, Illinois. specializing in Home Health Agency. The organization holds a License No. 1006683 (IL). The NPI Number for PRIME CARE RESOURCE, INC. is 1942340252

Main info

Organization
Name
PRIME CARE RESOURCE, INC.
NPI
1942340252
Phone
Not provided
Address
1420 RENAISSANCE DR STE 410
Authorized Official
CORAZON MONZON ADMINISTRATOR
Enumeration Date
7 February 2007
Last Update Date
18 October 2011
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

Provider Addresses for PRIME CARE RESOURCE, INC.

  • 1420 RENAISSANCE DR STE 410

    PARK RIDGE, IL 600681345

    Phone:

    Fax: (847) 827-6448

    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: 2012-03-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-11-30 (190 days ago).

Enrollment records

1

Earliest due date

2025-11-30

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
O20120310000033OHome Health AgencyIL2025-11-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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

What is the standard ID for PRIME CARE RESOURCE, INC. in the U.S.?
In the U.S., PRIME CARE RESOURCE, INC. is identified by NPI 1942340252.
Is PRIME CARE RESOURCE, INC.'s NPI status active today?
Active status means PRIME CARE RESOURCE, INC.'s NPI record is not deactivated in the public file.
What does the directory say PRIME CARE RESOURCE, INC. does?
Insurance directories may phrase it differently, but here PRIME CARE RESOURCE, INC. maps to Home Health Agency. Clinical services aligned with this taxonomy classification.
Which community is linked to PRIME CARE RESOURCE, INC.?
PRIME CARE RESOURCE, INC. shows a connection to Park Ridge, Illinois in registry-derived data.
Who maintains PRIME CARE RESOURCE, INC.'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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