PRESTIGE HOME HEALTH CARE LLC (NPI# 1275783003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275783003 |
| Entity Type | Organization |
| Organization Name | PRESTIGE HOME HEALTH CARE LLC |
| Practice Address |
3120 N 19th Ave Suite 170 Phoenix AZ 85015-6052 |
| Mailing Address |
Po Box 18951 Phoenix AZ 85005-8951 |
| Practice Telephone | 6022798471 |
| Practice Fax Number | 6022790296 |
| Mailing Telephone | 6022798471 |
| Mailing Fax Number | 6022790296 |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2010-06-24 |
| Authorized Official Name | MR. BOLAN B OGUNDE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6027397170 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154861748 | Prestige Home Health Care LLC | Home Health | 2800 Freeway Blvd Ste 101, Brooklyn Center, MN 55430-1751 | 2017-03-01 |
| 1306317201 | Prestige Home Health Care LLC | In Home Supportive Care | 529 Seven Bridge Rd, East Stroudsburg, PA 18301-7608 | 2018-12-17 |
| Street Address |
3120 N 19TH AVE SUITE 170 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015-6052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386042281 | Arizona Behavioral Counseling | Community/Behavioral Health | 3120 N 19th Ave, Phoenix, AZ 85015-6052 | 2014-12-09 |
| 1245636398 | Christopher Peebles | Counselor | 3120 N 19th Ave, Phoenix, AZ 85015-6052 | 2014-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
| 1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
| 1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
| 1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
| 1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
| 1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
| 1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
| 1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
| 1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
| 1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
| Find all providers in zip 85015 | ||||
| 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 |
|---|---|---|---|---|
| 1578162681 | Deshea Willis | Home Health | 21150 N Tatum Blvd Apt 3049, Phoenix, AZ 85050-7238 | 2020-10-20 |
| 1144828831 | Vital Homecare, Inc. | Home Health | 2375 E Camelback Rd Ste 632, Phoenix, AZ 85016-3424 | 2020-10-14 |
| 1124625645 | Bright Future Behavioral Homes LLC | Home Health | 4707 E Mcdowell Rd Apt 1197, Phoenix, AZ 85008-4534 | 2020-10-07 |
| 1982217642 | My Caregivers LLC | Home Health | 1020 E Beryl Ave, Phoenix, AZ 85020-1538 | 2020-08-24 |
| 1952927774 | Shaly Richie | Home Health | 3946 W El Camino Dr, Phoenix, AZ 85051-4626 | 2020-06-17 |
| 1700401957 | Imani Home Care Living LLC | Home Health | 8539 W Hazelwood St, Phoenix, AZ 85037-1534 | 2020-06-13 |
| 1821619396 | Home Pain Solutions | Home Health | 1137 W Betty Elyse Ln, Phoenix, AZ 85023-4461 | 2020-05-06 |
| 1376163824 | Redondo Health | Home Health | 822 W Earll Dr, Phoenix, AZ 85013-4022 | 2020-04-24 |
| 1427682897 | Resilient Homecare and Group Home | Home Health | 1505 E Sahuaro Dr Apt 4, Phoenix, AZ 85020-1456 | 2020-02-25 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| Find all providers in PHOENIX | ||||
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| 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.