PRESTIGE HOME AND COMMUNITY SUPPORT INC (NPI# 1174156236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174156236 |
| Entity Type | Organization |
| Organization Name | PRESTIGE HOME AND COMMUNITY SUPPORT INC |
| Practice Address |
1418 Good Hope Rd Se Washington DC 20020-5615 |
| Practice Telephone | 2029154331 |
| Mailing Telephone | 2029154331 |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-02-18 |
| Authorized Official Name | MR. JOHN S SMITH JR. (VICE PRESIDENT) |
| Authorized Official Telephone | 2029154331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Prestige Home And Community Support Inc | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PRESTIGE HOME AND COMMUNITY SUPPORT INC | 1418 Good Hope Rd Se, Washington, DC 20020-5615 |
| Street Address |
1418 GOOD HOPE RD SE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20020-5615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834294 | Monique Holland | Community Health Worker | 3001 O Street Se, Washington, DC 20020 | 2020-06-03 |
| 1215566708 | Ryan Wright | Counselor | Integrated Behavioral Solutions Group Inc., 3200 S St. S.e., Washington, DC 20020 | 2020-04-06 |
| 1316581002 | Kamara King | Hospitalist | 2754 Bruce Pl Se, Washington, DC 20020 | 2019-11-05 |
| 1639720394 | Denise Anderson | Technician | 2401 Bryan Pl S.e, Washington, DC 20020 | 2019-09-24 |
| 1629628664 | Rayniece Ann Johnson | Technician | 1641 W.st Se #303, Washington, DC 20020 | 2019-09-11 |
| 1780245787 | Connie Kitchings | Technician | 2800 Shipley Terrace Se, Washington, DC 20020 | 2019-06-21 |
| 1922560366 | Neka Ramsey-lee | Counselor | Anacostia Community Health Center, 1500 Galen Street, Se, Washington, DC 20020 | 2019-04-04 |
| 1750843553 | Chloe Rebecca Zaitlin | Psychologist | 2600 Douglass Rd. Se, Washington, DC 20020 | 2019-04-02 |
| 1356814974 | Ferris Antwan Alston | Technician | 2100 Mlk Jr Ave S.e., Suite#100, Washington, DC 20020 | 2019-01-07 |
| 1083182471 | Aaron Joshua Jones | Technician | 1432 T Street Se, 1432 T Street Se, Washington, DC 20020 | 2018-11-05 |
| Find all providers in zip 20020 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978013 | Virgin Health Care Services LLC | Home Health | 7317 Georgia Ave Nw, Washington, DC 20012-1719 | 2020-10-07 |
| 1609480615 | Donovan Wayne Johnson | Home Health | 1151 4th St Sw Apt 220, Washington, DC 20024-2348 | 2020-09-07 |
| 1205448982 | Monica Thompson | Home Health | 1475 Columbia Rd Nw, Washington, DC 20009-4743 | 2020-08-23 |
| 1528677747 | Fresh Fresh Health Care Agency LLC | Home Health | 5407 1st St Nw Apt 2, Washington, DC 20011-5243 | 2020-07-23 |
| 1144854522 | Essence Jones | Home Health | 1162 1st St Nw, Washington, DC 20001-1362 | 2020-02-25 |
| 1356975742 | Karen Shirelle Kouyate | Home Health | 6120 Georgia Ave Nw Apt 205, Washington, DC 20011-5169 | 2020-02-25 |
| 1538790514 | Tesfaadam Mulat Admassu | Home Health | 1405 Somerset Pl Nw Apt 203, Washington, DC 20011-1089 | 2020-01-29 |
| 1588209993 | Three Angels Home Health.llc | Home Health | 143 Kennedy St Nw Ste 15, Washington, DC 20011-5268 | 2019-11-08 |
| 1548802465 | Dominique Harden | Home Health | 1849 Good Hope Rd Se Apt 202, Washington, DC 20020-4681 | 2019-10-11 |
| 1407403645 | Allied Healthcare Group LLC | Home Health | 6120 Kansas Ave, Nw, 1st Floor, A, Washington, DC 20011 | 2019-08-22 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20020 |
Please comment or provide details below to improve the information on PRESTIGE HOME AND COMMUNITY SUPPORT 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.