Organization Active NPI

Prestige Adult Daycare and Home Health Services LLC

  • Non-emergency Medical Transport (VAN)
  • Columbus, OH
National Provider Identifier
1124392527
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
259075 Issued in OH
Legal business name
PRESTIGE ADULT DAYCARE AND HOME HEALTH SERVICES LLC
Practice address
2650 Courtright Road
Columbus, OH 43232
Phone
(614) 501-7966
Fax
(614) 501-7967
NPI assigned
Mar 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Authorized official

Name
Mr. Marwan M Alhisa
Title
Owner
Phone
(614) 501-7966

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X 259075 OH
Non-emergency Medical Transport (VAN) 343900000X 259075 OH Primary

Addresses

Primary practice location

2650 Courtright Road
Columbus, OH 43232

Mailing address

2650 Courtright Rd
Columbus, OH 43232-4840
Phone (614) 501-7966

Other names 1

  • Prestige Transportstion Doing business as

National Provider Directory

National Provider Directory

Locations

2650 Courtright Rd
Columbus, OH 43232
Phone (614) 501-7966

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1124392527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 COURTRIGHT RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432324840",
            "telephone_number": "614-501-7966",
            "fax_number": "614-501-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 COURTRIGHT ROAD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43232",
            "telephone_number": "614-501-7966",
            "fax_number": "614-501-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE ADULT DAYCARE AND HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "ALHISA",
        "authorized_official_first_name": "MARWAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-501-7966",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "OH",
            "license": "259075",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "259075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Transportstion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.