PRIMARY CARE IN YOUR HOME LLC
NPI 1003167073
Clinic/Center - Primary Care in Orange City, FL

Active since September 30, 2012CLIA 10D2161987 · Waiver
341 W MINNESOTA AVE, ORANGE CITY, FL 32763(386) 316-5439 Get Directions Write a Review

NPPES record last updated: October 5, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Primary Care In Your Home Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIMARY CARE IN YOUR HOME LLC (NPI 1003167073) is a healthcare organization registered as a primary care in Orange City, Florida and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through February 13, 2027 and lists John Croker, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1003167073
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePRIMARY CARE IN YOUR HOME LLC
Location Address341 W MINNESOTA AVEOrange City, FL 32763-2205
Mailing Address341 W Minnesota AveOrange City, FL 32763-2205 · (386) 316-5439
Organization SubpartNo
Authorized OfficialJohn CrokerOwner/manager · (386) 316-5439
Enumeration DateSeptember 30, 2012
Last NPPES UpdateOctober 5, 2012
NPI 1003167073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in FL · ARNP3333802
341 W MINNESOTA AVE, Orange City, FL 32763

Other Identifiers 6

Medicare UPINQ01970FL
Medicare UPING23040FL
Medicare NSC1295708139FL
Medicare PINU1748XFL
Medicaid305918900FL
Medicare NSC1518927763FL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2161987

Primary Care Of Orange City · Orange City, FL
Active · expires Feb 13, 2027
CLIA Number10D2161987
Laboratory TypePhysician Office
Certificate Effective DateFebruary 14, 2025
Certificate Expiration DateFebruary 13, 2027
Laboratory DirectorJohn Croker
Laboratory Phone(386) 316-5439
Laboratory LocationPrimary Care Of Orange City135 E Minnesota Ave, Orange City, FL 32763
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Primary Care)
341 W MINNESOTA AVE
ORANGE CITY, FL 32763

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Primary Care In Your Home LLC's NPI number?

The NPI number for Primary Care In Your Home LLC is 1003167073. It was assigned to this organization in the NPPES registry on September 30, 2012.

Where is Primary Care In Your Home LLC located?

Primary Care In Your Home LLC is located at 341 W Minnesota Ave, Orange City, FL 32763. The listed phone number is (386) 316-5439.

What is Primary Care In Your Home LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Primary Care In Your Home LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2161987) is associated with this NPI, valid through February 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Primary Care In Your Home LLC was last updated on October 5, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.