Prestige Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRESTIGE HOME HEALTH CARE LLC

Practice address

2800 Freeway Blvd Ste 101
Brooklyn Center, MN 55430-1751

Phone

(763) 496-9359

Fax

(763) 207-0203

NPI assigned

Mar 1, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Oyetola G Brown

Title

Owner

Phone

(763) 496-9359

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1154861748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 COUNTY ROAD 10",
            "address_2": "SUITE 116E",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 FREEWAY BLVD STE 101",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301751",
            "telephone_number": "763-496-9359",
            "fax_number": "763-207-0203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6029 Bryant Ave N",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Center",
            "state": "MN",
            "postal_code": "554302725",
            "country_code": "US",
            "telephone_number": "763-496-9359",
            "fax_number": "763-207-0203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRESTIGE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "OYETOLA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-496-9359",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.