PRESTIGE CARE HOME/ANGELIC VISITS (NPI# 1649656844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649656844 |
| Entity Type | Organization |
| Organization Name | PRESTIGE CARE HOME/ANGELIC VISITS |
| Other Organization Name | ANGELIC VISITS |
| Practice Address |
2051 Montreat Dr Memphis TN 38134-6613 |
| Practice Telephone | 9012818292 |
| Practice Fax Number | 9013887366 |
| Mailing Telephone | 9012818292 |
| Mailing Fax Number | 9013887366 |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |
| Authorized Official Name | SHIRLEY SPILLER-JOHNSON (NURSE ADMINISTRATOR) |
| Authorized Official Telephone | 9012818292 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 0000000565 | TN | Nursing & Custodial Care Facilities |
| Y | 251E00000X | Home Health | 0000000565 | TN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | H445488 | 05 |
| Other Name | Type Code |
|---|---|
| Angelic Visits | Other Name - Individual/Organization |
| Street Address |
2051 MONTREAT DR |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38134-6613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437468295 | Shirley Ann Spiller-johnson | Custodial Care Facility | 2051 Montreat Dr, Memphis, TN 38134-6613 | 2010-09-28 |
| 1609264142 | Prestige Care Home | Home Health | 2051 Montreat Dr, Memphis, TN 38134-6613 | 2015-01-07 |
| 1740678960 | Shirley Spiller-johnson | Licensed Practical Nurse | 2051 Montreat Dr, Memphis, TN 38134-6613 | 2014-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839313 | Tiffany Catrell Williams | Technician | 5312 Yellowood Road, Memphis, TN 38134 | 2020-01-02 |
| 1225676489 | Sandra Kay Branch | Technician | 2010 Joe Brooks Dr, Memphis, TN 38134 | 2019-12-18 |
| 1780151092 | Stephen R Hadley | Pharmacist | 3090 Kirby Whitten Rd, Bartlett, TN 38134 | 2018-10-25 |
| 1760962450 | Delta Transportation Services | Non-emergency Medical Transport (VAN) | 2856 Alfaree St, Bartlett, TN 38134 | 2018-08-21 |
| 1013409853 | Chosen Vessel Ministries | Clinic/Center | 6551 Stage Oaks Drive, Suite 4, Bartlett, TN 38134 | 2018-06-06 |
| 1710495858 | Lifetech Ambulance, LLC | Ambulance | 2874 Shelby St Ste 150, Bartlett, TN 38134 | 2018-01-10 |
| 1144744459 | Robin Coughlin | Counselor | 6553 Honeybrook Rd., Memphis, TN 38134 | 2017-07-28 |
| 1174047484 | Shannon Eric Overley | Behavioral Analyst | 5909 Shelby Oaks Drive Suite #100, Memphis, TN 38134 | 2017-07-28 |
| 1063881928 | Nursing Solutions | Nursing Care | 4311 Fiske Valley Drive, Memphis, TN 38134 | 2015-09-22 |
| 1821479254 | Mid-south Healthnet | Community Based Residential Treatment Facility, Mental Illness | 5909 Shelby Oaks Drive Suite 100, Memphis, TN 38134 | 2015-06-11 |
| Find all providers in zip 38134 | ||||
| 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 |
|---|---|---|---|---|
| 1649885674 | Optimal Home Health & Living | Home Health | 1444 E Shelby Dr Ste 203, Memphis, TN 38116-7244 | 2020-09-15 |
| 1245844919 | Larkspur Home Care | Home Health | 3824 Northcliffe Dr, Memphis, TN 38128-5496 | 2020-09-01 |
| 1437775053 | Prestige In Home Health Care | Home Health | 3355 Poplar Ave Ste 305, Memphis, TN 38111-4677 | 2020-06-19 |
| 1689297442 | Freedom 2 Go Biomed & Permitting, Inc | Home Health | 5308 Cottonwood Rd Ste 1a, Memphis, TN 38118-2609 | 2020-05-27 |
| 1942821533 | Yolander Lasha King | Home Health | 5634 Heartwood Dr, Memphis, TN 38135-1012 | 2020-05-05 |
| 1538797162 | Tiereney L Downey | Home Health | 3160 Lyndale Ave, Memphis, TN 38112-2109 | 2020-03-30 |
| 1356973994 | A Loving Arms Care, LLC | Home Health | 3254 Winbrook Dr, Memphis, TN 38116-3644 | 2020-02-11 |
| 1518505775 | Available Home Care Service | Home Health | 3133 Kirkcaldy Rd, Memphis, TN 38128 | 2019-12-18 |
| 1336785849 | Charresa Noel | Home Health | 1026 Pearce St, Memphis, TN 38107-2029 | 2019-11-19 |
| 1831730977 | Precious Angels Home Care | Home Health | 3765 Deer Forest Dr, Memphis, TN 38115-5219 | 2019-09-30 |
| Find all providers in MEMPHIS | ||||
Please comment or provide details below to improve the information on PRESTIGE CARE HOME/ANGELIC VISITS.
| 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.