Prestige JS Private Home Care LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

PRESTIGE JS PRIVATE HOME CARE LLC

Practice address

4800 Streamside Dr
Alpharetta, GA 30022-6613

Phone

(678) 447-3497

NPI assigned

Jan 20, 2021

Last updated

Jan 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Josephine Ladapo

Title

Administrator

Phone

(678) 447-3497

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1033709373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 STREAMSIDE DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226613",
            "telephone_number": "678-447-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 STREAMSIDE DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226613",
            "telephone_number": "678-447-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE JS PRIVATE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "LADAPO",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-447-3497"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Aide in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Home Health Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.