PRIMECARE SUPPORT SERVICES LLC
NPI 1033079066
Clinic/Center - Community Health in Centreville, VA

Q: What is Primecare Support Services LLC's NPI number?

The NPI number for Primecare Support Services LLC is 1033079066. It was assigned to this organization in the NPPES registry on November 12, 2025.

Q: What is Primecare Support Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Active since November 12, 2025

15004 OLDDALE RD, CENTREVILLE, VA 20120(240) 899-0339 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Primecare Support Services Llc NPPES

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

PRIMECARE SUPPORT SERVICES LLC (NPI 1033079066) is a healthcare organization registered as a community health in Centreville, Virginia and active in the NPI registry since November 2025. The organization lists Kenneth Ashu Agbor Ojong, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033079066

Entity TypeOrganization

Primary Taxonomy261QC1500X

Legal Business NamePRIMECARE SUPPORT SERVICES LLC

Location Address15004 OLDDALE RDCentreville, VA 20120-1433

Mailing Address15004 Olddale RdCentreville, VA 20120-1433 · (240) 899-0339

Phone(240) 899-0339

Organization SubpartNo

Authorized OfficialKenneth Ashu Agbor OjongCeo · (240) 899-0339

Enumeration DateNovember 12, 2025

NPPES CertifiedNovember 12, 2025

✔ NPI 1033079066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities

Taxonomy Code261QC1500X

Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X

Also ListedHome HealthTaxonomy 251E00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X

Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

15004 OLDDALE RD, Centreville, VA 20120

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Primecare Support Services LLC's NPI number?

The NPI number for Primecare Support Services LLC is 1033079066. It was assigned to this organization in the NPPES registry on November 12, 2025.

Where is Primecare Support Services LLC located?

Primecare Support Services LLC is located at 15004 Olddale Rd, Centreville, VA 20120. The listed phone number is (240) 899-0339.

What is Primecare Support Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Primecare Support Services LLC was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.