Organization Active NPI

Prestige Home Health Care Inc

  • Health Maintenance Organization
  • Southfield, MI
National Provider Identifier
1194098301
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
PRESTIGE HOME HEALTH CARE INC
Practice address
17520 W 12 Mile Rd
Suite # 212
Southfield, MI 48076-1945
Phone
(586) 871-3009
Fax
(586) 843-3396
NPI assigned
Feb 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Mr. Abid Fayyaz Chaudhry
Title
Administrator
Phone
(586) 871-3009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

17520 W 12 Mile Rd
Suite # 212
Southfield, MI 48076-1945

Mailing address

17520 W 12 Mile Rd
Suite # 212
Southfield, MI 48076-1945
Phone (586) 871-3009

National Provider Directory

National Provider Directory

Locations

17520 W 12 Mile Rd
Ste 212
Southfield, MI 48076
Phone (248) 905-5070

NPI Registry JSON

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1194098301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17520 W 12 MILE RD",
            "address_2": "SUITE # 212",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761945",
            "telephone_number": "586-871-3009",
            "fax_number": "586-843-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17520 W 12 MILE RD",
            "address_2": "SUITE # 212",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761945",
            "telephone_number": "586-871-3009",
            "fax_number": "586-843-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-17",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "ABID",
        "authorized_official_middle_name": "FAYYAZ",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "586-871-3009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.