PRESTIGE SENIOR ENRICHMENT CENTER INC (NPI# 1124589528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124589528 |
| Entity Type | Organization |
| Organization Name | PRESTIGE SENIOR ENRICHMENT CENTER INC |
| Practice Address |
2104 Northbay Dr Browns Summit NC 27214-8701 |
| Practice Telephone | 3369128462 |
| Practice Fax Number | 3367638405 |
| Mailing Telephone | 3369128462 |
| Mailing Fax Number | 3367638405 |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-03-27 |
| Authorized Official Name | MRS. KIMBERLY LIDE (PRESIDENT) |
| Authorized Official Telephone | 3363404734 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities | ||
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities | ||
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Prestige Enrichment Center INC | Doing Business As Name - Organization |
| Street Address |
2104 NORTHBAY DR |
| City | BROWNS SUMMIT |
| State | NC |
| Zip Code | 27214-8701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104438407 | Healthstat Inc Southeastern Paper Greensboro | Preventive Medicine | 6201 Corporate Drive, Brown Summit, NC 27214 | 2020-08-18 |
| 1033621735 | Bobby L Armstrong | Counselor | 4928 Black Walnut Ct, Browns Summit, NC 27214 | 2017-11-02 |
| 1649684374 | United Living, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 181 Big Oak Trail, Greensboro, NC 27214 | 2014-06-20 |
| 1528338084 | B Morgan Incorporated | Durable Medical Equipment & Medical Supplies | 7514 Oak Valley Lane, Brown Summit, NC 27214 | 2011-12-30 |
| 1427338607 | Charlesetta Marie Sterling | Registered Nurse | 5715 Yacthsman Ct, Brown Summit, NC 27214 | 2011-08-19 |
| 1427250141 | R.j. Whitsett Residential Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4227-g Yanceyville Rd., Browns Summit, NC 27214 | 2007-06-04 |
| 1033320585 | Robin Whitsett Crite | Counselor | 5306 Yanceyville Rd., Browns Summit, NC 27214 | 2007-05-25 |
| 1831391416 | R.j. Whitsett Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5306 Yanceyville Rd., Browns Summit, NC 27214 | 2007-06-05 |
| 1982934428 | Jerin D Elliott | Counselor | 705 Hiddenlake Ct, Browns Summit, NC 27214-7000 | 2010-01-06 |
| 1063933539 | Jazmon Womack | Social Worker | 4229 Yanceyville Rd Apt R, Browns Summit, NC 27214-8003 | 2017-07-05 |
| Find all providers in zip 27214 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1497360655 | Beyond Listening Pllc | Clinic/Center | 301 S Main St Ste 135, Salisbury, NC 28144-4900 | 2020-09-14 |
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| 1477166197 | Compass Counseling and Consulting LLC | Clinic/Center | 8411 Habersham Pointe Cir, Charlotte, NC 28226-4792 | 2020-08-24 |
| 1710503784 | Inner Banks Counseling Inc. | Clinic/Center | 305 Pine Ln, Washington, NC 27889-9674 | 2020-06-24 |
| 1942826987 | Jpn Consultants | Clinic/Center | 43 Duchess Ave, Franklinton, NC 27525-8447 | 2020-06-24 |
| 1730704388 | Hidden Treasures Counseling Services | Clinic/Center | 2589 E Main St # 2, Lincolnton, NC 28092-4149 | 2020-06-10 |
| Find all providers with the same taxonomy | ||||
| City | BROWNS SUMMIT |
| Zip Code | 27214 |
Please comment or provide details below to improve the information on PRESTIGE SENIOR ENRICHMENT CENTER INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.