PRESTIGE CARE CENTER INC. (NPI# 1174089494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174089494 |
Entity Type | Organization |
Organization Name | PRESTIGE CARE CENTER INC. |
Practice Address |
617 County Road 99 Alvin TX 77511-7683 |
Mailing Address |
5555 Long Prairie Trce Apt 1138 Richmond TX 77407-1783 |
Practice Telephone | 8323759718 |
Mailing Telephone | 8323759718 |
Enumeration Date | 2019-02-11 |
Last Update Date | 2019-02-11 |
Authorized Official Name | MR. EMMANUEL NNAMDI NNAJI (ADMINISTRATOR) |
Authorized Official Telephone | 8323759718 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
PRESTIGE CARE CENTER INC. | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982160370 | Prestige Care Center Inc. | Intermediate Care Facility, Mentally Retarded | 617 County Road 99, Alvin, TX 77511-7683 | 2019-02-11 |
Street Address |
617 COUNTY ROAD 99 |
City | ALVIN |
State | TX |
Zip Code | 77511-7683 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982160370 | Prestige Care Center Inc. | Intermediate Care Facility, Mentally Retarded | 617 County Road 99, Alvin, TX 77511-7683 | 2019-02-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386245975 | Chau T Nguyen | Pharmacist | 400 S. Bypass 35, Alvin, TX 77511 | 2020-11-02 |
1215548235 | Roozbeh Ghasemi | Dentist | 2101 Alvin Bypass #106, Alvin, TX 77511 | 2020-08-13 |
1992287320 | Tamra Sanson | Registered Nurse | 2800 Mustang Rd Apt 403, Alvin, TX 77511 | 2018-09-01 |
1265930101 | National Vision, Inc. | Technician/Technologist | 1240 Fm 1462, Ste 300, Alvin, TX 77511 | 2018-01-25 |
1275050643 | Hannah Corena Kenney | Specialist/Technologist | 122 Leisure Lane, Alvin, TX 77511 | 2017-08-27 |
1700260684 | Alvin Dialysis Renal | Clinic/Center | 101 East House Street, Alvin, TX 77511 | 2015-07-10 |
1740682715 | Alvin Family Dental | Dentist | 173 Tovrea Rd., Ste. E., Alvin, TX 77511 | 2014-09-22 |
1194158527 | Tison Latoi Price Hudson | Nurse Practitioner | 3128 Texas 35 S, Alvin, TX 77511 | 2013-08-21 |
1235577057 | Veruschka Kristel Rivera Colon | Speech-Language Pathologist | 601 E Clements St, Alvin, TX 77511 | 2013-06-14 |
1780981555 | Brazoria Urgent Care LLC | Internal Medicine | 2300 Highway 35, Suite A, Alvin, TX 77511 | 2011-02-14 |
Find all providers in zip 77511 |
Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
Notes: [7/1/2003: new] |
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1053919050 | Building Bridges In Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2007 Liberty Cove Ct, Richmond, TX 77469-2338 | 2020-10-12 |
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1750989067 | Able Wisdom Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2203 Huntington Dr, Wylie, TX 75098-7164 | 2020-10-09 |
1518573609 | Jbk House of Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2624 Grand Gulf Rd, Fort Worth, TX 76123-2613 | 2020-09-23 |
1700492352 | St Monica Healthcare Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11311 Scottsdale Dr, Meadows Place, TX 77477-1811 | 2020-09-18 |
1265047534 | Compassion Structured Living Center LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13578 San Martin Ln, Houston, TX 77083-5135 | 2020-09-13 |
1497369474 | Nexphase Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1201 N Watson Rd Ste 205, Arlington, TX 76006-6120 | 2020-09-07 |
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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.