Organization Active NPI

Prestige Care,Inc

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Pembroke Pines, FL
National Provider Identifier
1013214493
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
License
000399500 Issued in FL
Legal business name
PRESTIGE CARE,INC
Practice address
17076 NW 17TH St
Pembroke Pines, FL 33028-1354
Phone
(786) 897-0213
Fax
(954) 538-8664
NPI assigned
Feb 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Authorized official

Name
Habeebet MomohNPI 1730403734
Title
President
Phone
(786) 897-0213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 000399500 FL Primary

Addresses

Primary practice location

17076 NW 17TH St
Pembroke Pines, FL 33028-1354

Mailing address

17076 NW 17TH St
Pembroke Pines, FL 33028-1354
Phone (786) 897-0213

Other identifiers 1

IdentifierTypeStateIssuer
1730403734OtherFLNPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1013214493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17076 NW 17TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281354",
            "telephone_number": "786-897-0213",
            "fax_number": "954-538-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17076 NW 17TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281354",
            "telephone_number": "786-897-0213",
            "fax_number": "954-538-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE CARE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "MOMOH",
        "authorized_official_first_name": "HABEEBET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-897-0213"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "FL",
            "license": "000399500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730403734",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.