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PRIMEMED HOME HEALTH CARE, INC.
NPI 1265996771
Home Health in Norwalk, CA

Active since January 29, 2019CLIA 05D2303754 · Waiver
12440 FIRESTONE BLVD STE 2011, NORWALK, CA 90650(562) 204-6890 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 3, 2024, Jan 29, 2019 (2 updates tracked since 2019).

About Primemed Home Health Care, Inc. NPPES

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

PRIMEMED HOME HEALTH CARE, INC. (NPI 1265996771) is a healthcare organization registered as a home health in Norwalk, California and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through April 29, 2028 and lists Raj Augustine, Ceo, as its authorized official.

NPPES Registry Identity

NPI1265996771
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePRIMEMED HOME HEALTH CARE, INC.
Location Address12440 FIRESTONE BLVD STE 2011Norwalk, CA 90650-4328
Mailing Address12440 Firestone Blvd Ste 2011Norwalk, CA 90650-4328 · (562) 204-6890
Phone(562) 204-6890
Organization SubpartNo
Authorized OfficialRaj AugustineCeo · (951) 480-5030
Enumeration DateJanuary 29, 2019
Last NPPES UpdateSeptember 3, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
✔ NPI 1265996771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
12440 FIRESTONE BLVD STE 2011, Norwalk, CA 90650
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Other Identifiers 1

Medicaid1CA

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 05D2303754

Primemed Home Health Care, Inc · Norwalk, CA
Active · expires Apr 29, 2028
CLIA Number05D2303754
Laboratory TypeHome Health Agency
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorAli Hadadz
Laboratory Phone(562) 204-6890
Laboratory LocationPrimemed Home Health Care, Inc12440 Firestone Blvd Ste 2011, Norwalk, CA 90650
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Primemed Home Health Care, Inc.'s NPI number?

The NPI number for Primemed Home Health Care, Inc. is 1265996771. It was assigned to this organization in the NPPES registry on January 29, 2019.

Where is Primemed Home Health Care, Inc. located?

Primemed Home Health Care, Inc. is located at 12440 Firestone Blvd Ste 2011, Norwalk, CA 90650. The listed phone number is (562) 204-6890.

What is Primemed Home Health Care, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Primemed Home Health Care, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2303754) is associated with this NPI, valid through April 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Primemed Home Health Care, Inc. was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.