NPIMap

Organization Active NPI

Prestige Healthcare Resources Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Largo, MD
National Provider Identifier
1053067322
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PRESTIGE HEALTHCARE RESOURCES INC.
Practice address
9500 Medical Center Dr Ste 104
Largo, MD 20774-3703
Phone
(240) 269-7374
NPI assigned
Feb 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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
(240) 644-3578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

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

Mailing address

9500 Medical Center Dr Ste 104
Largo, MD 20774-3703
Phone (240) 269-7374

National Provider Directory

National Provider Directory
Tax ID family
Prestige Healthcare Resources Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9500 Medical Center Dr
Ste 104
Largo, MD 20774
Phone (240) 334-4394

NPI Registry JSON

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1053067322",
    "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": "240-269-7374"
        },
        {
            "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": "240-269-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE HEALTHCARE RESOURCES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "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": "240-644-3578"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.