Organization · Type 2 NPI
Primecare Support Services LLC
Community Health Clinic/Center · Centreville, VA
NPI number
1033079066
Active
Practice location
15004 Olddale Rd
Centreville, VA 20120-1433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | None listed |
| Home Health Agency | 251E00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| In Home Supportive Care Agency | 253Z00000X | None listed |
| Adult Day Care Clinic/Center | 261QA0600X | None listed |
| Community Health Clinic/Center Primary | 261QC1500X | None listed |
| Developmental Disabilities Clinic/Center | 261QD1600X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
Community Health Clinic/Center: Definition to come...
About NPI 1033079066
Primecare Support Services LLC's National Provider Identifier is 1033079066, issued on Nov 12, 2025. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Centreville, VA. The record was last updated on Nov 12, 2025.