PRESTIGE HEALTH CARE SERVICES INC (NPI# 1285124495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285124495 |
| Entity Type | Organization |
| Organization Name | PRESTIGE HEALTH CARE SERVICES INC |
| Other Organization Name | PHCS AFC |
| Practice Address |
340 Main St Ste 977 Worcester MA 01608-1600 |
| Practice Telephone | 5087577878 |
| Mailing Telephone | 5087577878 |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |
| Authorized Official Name | MR. ISDORY LYAMUYA (PRESIDENT/CEO) |
| Authorized Official Telephone | 5087577878 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRESTIGE HEALTH CARE SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | Agencies |
| Other Name | Type Code |
|---|---|
| PHCS AFC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225319924 | Prestige Health Care Services Inc | Home Health | 340 Main St, Suite 977, Worcester, MA 01608-1604 | 2011-09-08 |
| Street Address |
340 MAIN ST STE 977 |
| City | WORCESTER |
| State | MA |
| Zip Code | 01608-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194288084 | Promedicare Health Services, Inc | Home Health | 340 Main St Ste 977, Worcester, MA 01608-1600 | 2019-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721733 | Rebecca Smith Morgan | Physical Therapist | Easter Seals Massachusetts, 484 Main St, Worcester, MA 01608 | 2020-08-24 |
| 1083244057 | Marc Labb | Counselor | 25 Union St 3rd Floor, Worcester, MA 01608 | 2020-01-18 |
| 1154974145 | Shanil Shah | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, Department of Internal Medicine, 123 Summer Street, Worcester, MA 01608 | 2019-07-19 |
| 1194377069 | Varun Kommalapati | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, 123 Summer Street, Worcester, MA 01608 | 2019-07-11 |
| 1992361182 | Jenna Recko | Physical Therapy Assistant | Easter Seals of Massachusetts, 484 Main St, Worcester, MA 01608 | 2019-05-14 |
| 1619452646 | Kara Thompson | Registered Nurse | 100 Martin Luther King Jr Blvd, Worcester, MA 01608 | 2018-09-25 |
| 1427555325 | Baran Umut Vardar | Student in an Organized Health Care Education/Training Program | 123 Summer Street, Saint Vincent Hospital Radiology Dep, Worcester, MA 01608 | 2018-04-09 |
| 1609380765 | Mary Elizabeth O'donnell | Occupational Therapist | Easter Seals Ma, 484 Main Street, Worcester, MA 01608 | 2017-11-28 |
| 1093227316 | Oasis Home Care, LLC | Home Health | 340 Main St Ste 803, Worcester, MA 01608 | 2017-10-26 |
| 1912437500 | Peter A Rondon | Social Worker | 11 Sycamore Street, Worcester, MA 01608 | 2017-06-15 |
| Find all providers in zip 01608 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568961563 | Optimum Homecare and Counseling Services LLC | Foster Care Agency | 88 Webster St, Worcester, MA 01603-1957 | 2018-02-05 |
| 1457803686 | Reliable Home Care Services | Foster Care Agency | 35a Houghton Strret, Worcester, MA 01604 | 2016-11-04 |
| 1336534494 | Astute Health Systems LLC | Foster Care Agency | 80 1/2 Bjorklund Ave, Worcester, MA 01605-1070 | 2015-04-05 |
| 1184017980 | Prestige Adult Foster Care LLC. | Foster Care Agency | 340 Main St Ste 975, Worcester, MA 01608-1601 | 2015-03-18 |
| 1265821516 | Ultimate Healthcare, Inc. | Foster Care Agency | 23 Navajo Rd, Worcester, MA 01606-2669 | 2015-01-09 |
| 1669969853 | Arca Homecare LLC | Foster Care Agency | 627 Main St, Suite 102, Worcester, MA 01608-2022 | 2018-04-13 |
| 1942718390 | Sapphire Group Adult Foster Care LLC | Foster Care Agency | 400 Grove St, Worcester, MA 01605-1271 | 2018-01-19 |
| 1396280277 | Vcare LLC | Foster Care Agency | 18 Hammond St, Worcester, MA 01610-1513 | 2016-12-30 |
| 1578010997 | Enjo Care LLC | Foster Care Agency | 86 Pleasant St, Worcester, MA 01609-3204 | 2016-09-01 |
| 1447607874 | Lifestream Vna LLC | Foster Care Agency | 37 Highland St, Worcester, MA 01609-2703 | 2016-05-16 |
| Find all providers in WORCESTER | ||||
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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.