OrganizationPrimary Home Health Care, Inc.Home HealthAgenciesPractice Address111 E. Polk Street, Colorado Springs, CO 80907-6227(719) 577-4272PECOS EnrollmentBased on the most recent information from CMS, provider Primary Home Health Care, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1659540862Provider TypeOrganizationFull NamePrimary Home Health Care, Inc.SubpartNoEnumeration Date2/21/2008Last Updated11/7/2016Contact InformationPractice LocationPractice Address111 E. Polk Street, Colorado Springs, CO 80907-6227Phone(719) 577-4272Fax(719) 227-9272Mailing LocationMailing Address111 E. Polk Street, 111 E. Polk Street, Colorado Springs, CO 80909-6227Phone(719) 577-4272Fax(719) 227-9272Authorized OfficialNamePrime, Diana Louise (Vice-President)Phone(719) 577-4272Provider TaxonomiesCodeDescriptionLicenseCode251E00000XPrimaryDescriptionHome HealthAgenciesLicense04G501ColoradoCode251E00000XDescriptionHome HealthAgenciesLicenseUnlisted IssuerCode253Z00000XDescriptionIn Home Supportive CareAgenciesLicense04K988ColoradoCode376J00000XDescriptionHomemakerNursing Service Related ProvidersLicense040244ColoradoProvider IdentifiersIDDescriptionIssuerID37422791DescriptionMedicaidIssuerUnlistedColoradoID41652576DescriptionMedicaidIssuerUnlistedColorado