Active NPI
Prestigious Homecare Service LLC
- Registered Nurse
- Dallas, GA
National Provider Identifier
1134051675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- Legal business name
- PRESTIGIOUS HOMECARE SERVICE LLC
- Practice address
- 661 Boulder View Pkwy
Dallas, GA 30157-2377 - Phone
- (772) 216-0676
- NPI assigned
- Jun 1, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alicia Steel, REGISTERED NURSE
- Title
- Owner
- Phone
- (772) 216-0676
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | Primary | ||
| Administrator Registered Nurse | 163WA2000X | |||
| Continence Care Registered Nurse | 163WC2100X | |||
| Infection Control Registered Nurse | 163WI0600X | |||
| Wound Care Registered Nurse | 163WW0000X | |||
| Licensed Practical Nurse | 164W00000X | |||
| Licensed Vocational Nurse | 164X00000X | |||
| Home Health Agency | 251E00000X |
Addresses
Primary practice location
661 Boulder View Pkwy
Dallas, GA 30157-2377
Mailing address
661 Boulder View Pkwy
Dallas, GA 30157-2377
Phone (772) 216-0676
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780272000000",
"number": "1134051675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "661 BOULDER VIEW PKWY",
"city": "DALLAS",
"state": "GA",
"postal_code": "301572377",
"telephone_number": "772-216-0676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "661 BOULDER VIEW PKWY",
"city": "DALLAS",
"state": "GA",
"postal_code": "301572377",
"telephone_number": "772-216-0676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESTIGIOUS HOMECARE SERVICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-01",
"last_updated": "2026-06-01",
"certification_date": "2026-05-31",
"status": "A",
"authorized_official_last_name": "STEEL",
"authorized_official_first_name": "ALICIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "772-216-0676",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": true
},
{
"code": "163WA2000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Administrator",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WC2100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Continence Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WI0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Infection Control",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Wound Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "164X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Vocational Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.