Prestige Care at Home, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PRESTIGE CARE AT HOME, LLC

Practice address

919 Fairfax St Ste 200
Altoona, WI 54720-1194

Phone

(715) 318-6860

NPI assigned

Feb 17, 2022

Organization subpart

No

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

Authorized official

Name

Sophia Smith, NP

Title

Administrator

Phone

(715) 318-6860

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1194470112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N WILLSON DR",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 FAIRFAX ST STE 200",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547201194",
            "telephone_number": "715-318-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE CARE AT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-318-6860",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lia Pender, FNP
• Rachel Marie Pfeifer, PT, DPT
• Jodi Pinnow, COTA
• Terry Plomedahl, PT
• Phillip Porter, MD
• Ready Ride Taxi
• Benjamin Reich, DPT
• Sarah Beth Reiter
• Stephen J Ridenour, DDS
• Jodi Hansen Ritsch, MD

• In Home Supportive Care Agency in Altoona, WI
• Providers in Altoona, WI by specialty
• In Home Supportive Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.