PRESTIGE HOME CARE INC. (NPI# 1386989754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386989754 |
| Entity Type | Organization |
| Organization Name | PRESTIGE HOME CARE INC. |
| Practice Address |
1801 N Tryon St Suite 604 Charlotte NC 28206-2704 |
| Practice Telephone | 7044058557 |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |
| Authorized Official Name | TERESIA MEDLEY (ADMINISTRATOR) |
| Authorized Official Telephone | 7044058557 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
1801 N TRYON ST SUITE 604 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28206-2704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356417380 | Crimson Home Care | Home Health | 1801 N Tryon St, Suite B-106, Charlotte, NC 28206-2704 | 2006-11-28 |
| 1861936239 | Kristen Lyon | Counselor | 1801 N Tryon St, Charlotte, NC 28206-2704 | 2016-12-05 |
| 1285186429 | Timothy Lariche | Social Worker | 1801 N Tryon St, 321, Charlotte, NC 28206-2704 | 2016-11-03 |
| 1770037327 | Advanced Care Network Charlotte | In Home Supportive Care | 1801 N Tryon St, Suite 336, Charlotte, NC 28206-2704 | 2016-08-12 |
| 1629425434 | Youth Solutions Network LLC | Community/Behavioral Health | 1801 N Tryon St, Suite #204, Charlotte, NC 28206-2704 | 2016-05-22 |
| 1609249622 | Caregivers Connection, LLC | In Home Supportive Care | 1801 N Tryon St, Suite B-307, Charlotte, NC 28206-2704 | 2015-11-13 |
| 1902217326 | Brittany Horne | Social Worker | 1801 N Tryon St, Charlotte, NC 28206-2704 | 2014-05-20 |
| 1114354743 | Chanaya R Johnson | Registered Nurse | 1801 N Tryon St, Suite 305-b, Charlotte, NC 28206-2704 | 2013-09-27 |
| 1871929018 | Carolyn Simpson | Nurse's Aide | 1801 N Tryon St, Suite 305-b, Charlotte, NC 28206-2704 | 2013-09-19 |
| 1104250919 | Medtrac Solutions | Counselor | 1801 N Tryon St, B111, Charlotte, NC 28206-2704 | 2013-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019150 | Novant Medical Group, Inc. | Family Medicine | 2701 Statesville Ave., Charlotte, NC 28206 | 2020-07-02 |
| 1609433291 | Life Interrupted Counseling Services | Counselor | 4045 N Tryon St Ste A, Charlotte, NC 28206 | 2019-05-20 |
| 1295141216 | Taqiyah Camyah Barber | Prosthetic/Orthotic Supplier | 3829 Perennial Terrace Dr, #g, Charlotte, NC 28206 | 2014-07-10 |
| 1386976033 | Olugboyega Remi Fisher | Community Health Worker | 1801 N.tryon Street, Suiteb114, Charlotte, NC 28206 | 2010-02-05 |
| 1821225699 | Alzenia Kelly Morris | Counselor | 1801 N Tryon Street Ste 339, Charlotte, NC 28206 | 2009-06-18 |
| 1942479936 | American Current Care of North Carolina PC | Clinic/Center | 2835 Jeff Adams Drive, Suite A, Charlotte, NC 28206 | 2008-02-25 |
| 1992823629 | Shari J Baum | Preventive Medicine | 2830 North I-85, Suite A and B, Charlotte, NC 28206 | 2007-03-27 |
| 1255479135 | Tameka Denise Jenkins | Counselor | 1600 Norris Ave., Charlotte, NC 28206 | 2007-02-02 |
| 1871655803 | Dwight Hollier | Counselor | 1801 North Tryon Street, Suite 309, Charlotte, NC 28206 | 2006-12-15 |
| 1093213621 | Mishelle L Lockerby | Counselor | 5108 Reagan Dr, Charlotte, NC 28206 | 2018-01-29 |
| Find all providers in zip 28206 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093335283 | Brionna Rene Mielke I | Technician | 4188 Carlisle Hwy, Charlotte, MI 48813-9562 | 2020-04-17 |
| 1922464353 | Shavon Land | Technician | 1323 Spruce St, Charlotte, NC 28203-4670 | 2016-01-14 |
| 1871905182 | Angie Wirick | Technician | 4023 Winfield Dr, Charlotte, NC 28205-6430 | 2014-05-21 |
| 1326489162 | Lynette Mccorkle-austin | Technician | 7228 Cranswick Pl, Charlotte, NC 28227-8794 | 2013-07-09 |
| 1639510605 | Undray Containe Mills | Technician | 7313 Pebblestone Dr Apt B, Charlotte, NC 28212-0020 | 2013-07-08 |
| 1679813760 | Homecare of North Carolina | Technician | 1107 Beatties Ford Rd Unit A, Charlotte, NC 28216-5034 | 2013-02-26 |
| 1992028716 | Hughes Comprehensive Homecare, LLC | Technician | 3460 N Davidson St, Charlotte, NC 28205-1123 | 2010-03-08 |
| 1902135619 | Tyshieka Maylee Stinson | Technician | 12512 Welland Trl, Charlotte, NC 28215-9640 | 2009-12-09 |
| 1013240522 | Kimberly T Tanner | Technician | 9836 Feldbank Dr, Charlotte, NC 28216-2135 | 2009-09-15 |
| 1508002171 | Mlm Home Care,llc | Technician | 1505 Long Paw Ln, Charlotte, NC 28214-7704 | 2009-01-01 |
| Find all providers in CHARLOTTE | ||||
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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.