PRIME IS CARE
NPI 1407500762
Clinic/Center - Developmental Disabilities in Port St Lucie, FL

Active since February 07, 2022
2621 SW HAREM CIR, PORT ST LUCIE, FL 34953(772) 924-9006 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Developmental Disabilities

About PRIME IS CARE

This page provides the complete NPI Profile along with additional information for Prime Is Care, a provider established in Port St Lucie, Florida operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1407500762 assigned on February 2022. The practitioner's primary taxonomy code is 261QD1600X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Blon Primous (President)

NPI
1407500762 Verify this NPI
Provider Name
PRIME IS CARE
Entity Type
Organization
Location Address
2621 SW HAREM CIR PORT ST LUCIE, FL 34953
Location Phone
(772) 924-9006
Mailing Address
2621 SW HAREM CIR PORT ST LUCIE, FL 34953
Mailing Phone
(772) 924-9006
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-07-2022
Last Update Date
02-07-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Developmental Disabilities

Taxonomy Code
261QD1600X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BLON PRIMOUS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(772) 924-9006

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407500762, enumerated as an "organization" on February 07, 2022.

The provider is located at 2621 SW HAREM CIR PORT ST LUCIE, FL 34953 and the phone number is (772) 924-9006.

Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.