Prime Home Care Incorporated – Multi-Specialty Clinic/Center, NPI 1326381401

Prime Home Care Incorporated is a healthcare provider. based in Grand prairie, Texas. specializing in Multi-Specialty Clinic/Center. The NPI Number for Prime Home Care Incorporated is 1326381401

Main info

Organization
Name
Prime Home Care Incorporated
NPI
1326381401
Phone
Not provided
Address
2306 OAK LN STE 202
Authorized Official
EDOLO AZENABOR ADMINISTRATOR
Enumeration Date
27 March 2013
Last Update Date
20 January 2021

Contacts

SOAP Endpoint
GRANDPRAIRIE
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness90
Years active:13State licenses:0Updated within 12 months

Provider Addresses for Prime Home Care Incorporated

  • 2306 OAK LN STE 202

    GRAND PRAIRIE, TX 750518270

    Phone:

    Type: Mailing

  • 2306 OAK LN STE 206

    GRAND PRAIRIE, TX 750518270

    Phone:

    Type: Mailing

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: 2020-07-21

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
O20200721000148OPhysical/Occupational Therapy Group In Private PracticeTXTBD

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 75051)

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Reviews

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Frequently asked questions

How is Prime Home Care Incorporated identified in CMS data?
CMS-hosted NPPES data lists Prime Home Care Incorporated with NPI 1326381401.
Is Prime Home Care Incorporated still practicing?
Prime Home Care Incorporated is currently listed as active in the public NPI registry.
What is Prime Home Care Incorporated's primary classification?
Multi-Specialty Clinic/Center is the headline specialty for Prime Home Care Incorporated here. Clinical services aligned with this taxonomy classification.
Where is Prime Home Care Incorporated based?
Prime Home Care Incorporated is tied to Grand Prairie, Texas in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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