PRESTIGE HOME HEALTHCARE (NPI# 1407460462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407460462 |
| Entity Type | Organization |
| Organization Name | PRESTIGE HOME HEALTHCARE |
| Practice Address |
3300 N Elm St Greensboro NC 27405-3156 |
| Mailing Address |
Po Box 36053 Greensboro NC 27416-6053 |
| Practice Telephone | 3363278854 |
| Mailing Telephone | 3363278854 |
| Mailing Fax Number | 3368512557 |
| Enumeration Date | 2020-09-06 |
| Last Update Date | 2020-09-06 |
| Authorized Official Name | MS. JACQUELINE ANDERSON (OWNER/ NURSE TECH II) |
| Authorized Official Telephone | 3363278854 |
| Authorized Official Credential | NURSE TECH II |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Prestige Home Healthcare LLC | 813 Professional Pl W Ste 107, Chesapeake, Virginia 23320 |
| Street Address |
3300 N ELM ST |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-3156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336559756 | Jacqueline Davis Anderson | Nursing Care | 3300 N Elm St, Greensboro, NC 27405-3156 | 2014-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| Find all providers in zip 27405 | ||||
| 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 |
|---|---|---|---|---|
| 1003425109 | Four Oaks Home Care Services LLC | Home Health | 611 Summit Ave Ste 6, Greensboro, NC 27405-7746 | 2020-07-24 |
| 1699390195 | Life Enhancement Home Care LLC | Home Health | 121 S Elm St Ste 1-a, Greensboro, NC 27401-2601 | 2020-06-10 |
| 1700401593 | Tdc Home Care | Home Health | 1031 Summit Ave Ste S-3, Greensboro, NC 27405-7010 | 2020-06-08 |
| 1538798673 | Yram Home Care LLC | Home Health | 801 Summit Ave Ste 3, Greensboro, NC 27405-7813 | 2020-04-01 |
| 1538799127 | Promise To Care Home Care LLC | Home Health | 2025 Martin Luther King Jr Dr Ste E, Greensboro, NC 27406-3334 | 2020-01-22 |
| 1710539010 | Robland Homecare LLC | Home Health | 1010 Homeland Ave Ste 100, Greensboro, NC 27405-7012 | 2019-07-16 |
| 1386133163 | Carolyns Choice | Home Health | 2 Centerview Dr Ste 41, Greensboro, NC 27407-3708 | 2018-05-07 |
| 1033614151 | Well Care Home Care, Inc | Home Health | 1801 Stanley Road, Suite 325, Greensboro, NC 27407-2644 | 2018-03-29 |
| 1225533714 | Well Care Home Care | Home Health | 1801 Stanley Rd Ste 325, Greensboro, NC 27407-2707 | 2018-03-27 |
| 1982134607 | Uchenna Junior Richards | Home Health | 311 College Rd Unit C, Greensboro, NC 27410-5159 | 2017-06-14 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
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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.