Prestige Healthcare Resources, Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PRESTIGE HEALTHCARE RESOURCES, INC

Practice address

9500 Medical Center Dr Ste 104
Largo, MD 20774-3703

Phone

(240) 334-4394

NPI assigned

Feb 24, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Saye Smith

Title

Ceo

Phone

(202) 558-2448

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Prestige Healthcare Resources Inc.

  • Adult Mental Health Clinic/Center
  • Bladensburg, MD
  • NPI 1144516824

  O20180717000081

  Same enrollment
• Prestige Healthcare Resources Inc.

  • Community/Behavioral Health Agency
  • Largo, MD
  • NPI 1215691738

  O20180717000081

  Same enrollment
• Prestige Healthcare Resources Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Largo, MD
  • NPI 1326615089

  O20180717000081

  Same enrollment

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amina Anyam

  • Registered Nurse
  • Lanham, MD
  • NPI 1336406669
  NPD
• Chelsea Lewis-Wilkins, LCPC

  • Professional Counselor
  • District Heights, MD
  • NPI 1568852903
  NPD
• Miranda Fontem, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
  • NPI 1215292784
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1003562323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 MEDICAL CENTER DR STE 104",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207743703",
            "telephone_number": "240-334-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 MEDICAL CENTER DR STE 104",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207743703",
            "telephone_number": "240-334-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE HEALTHCARE RESOURCES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SAYE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-558-2448"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Daniel Powers, M.D.
• Premier Physical Medicine & Rehabilitation, LLC.
• Prestige Healthcare Resources Inc.
• Prestige Healthcare Resources Inc.
• Prestige Healthcare Resources Inc.
• Prestige Healthcare Resources, Inc
• Lajoy Robin Preston, LCPC
• Lauri R Preston, MSW, LCSW-C, LCSW
• Prince George'S Child Resource Center, Inc.
• Prince George'S County Health Department

• Substance Use Disorder Rehabilitation Clinic/Center in Largo, MD
• Providers in Largo, MD by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.