Prestige Staffing Pool LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRESTIGE STAFFING POOL LLC

Practice address

4700 Millenia Blvd Ste 175
Orlando, FL 32839-6015

Phone

(407) 687-5409

NPI assigned

Jun 17, 2020

Organization subpart

No

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

Authorized official

Name

Rudy Little

Title

Administrator

Phone

(407) 687-5409

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1194341099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 MILLENIA BLVD STE 175",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328396015",
            "telephone_number": "407-687-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 MILLENIA BLVD STE 175",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328396015",
            "telephone_number": "407-687-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE STAFFING POOL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "RUDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-687-5409"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prestige Medical Serv & Reh Cent
• Prestige Medical Services
• Prestige Medical Services & Rehab Center LLC
• Prestige Medical Services & Rehab LLC
• Prestige Residential & Support Services LLC
• Preston Behavioral Services LLC
• Stephanie Preston-Hughes, LMHC
• Jordan T Preston
• Kayla Nicole Preston, PHARM.D.
• Nicole Presutti

• Home Health Agency in Orlando, FL
• Providers in Orlando, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.