Prestige in-Home Nursing Agency LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

PRESTIGE IN-HOME NURSING AGENCY LLC

Practice address

3737 NE 135TH Ave
Portland, OR 97230-2722

Phone

(813) 842-8699

NPI assigned

May 30, 2023

Organization subpart

No

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

Authorized official

Name

Gebi Genemo, RNNPI 1578001749

Title

Administrator

Phone

(813) 842-8699

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gebi Dakebo Genemo, RN

  • Registered Nurse
  • Happy Valley, OR
  • NPI 1578001749
  NPD Authorized official

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1215620976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 NE 135TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972302722",
            "telephone_number": "813-842-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 NE 135TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972302722",
            "telephone_number": "813-842-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE IN-HOME NURSING AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "GENEMO",
        "authorized_official_first_name": "GEBI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-842-8699",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Presnell, LCSW
• Richard Dale Press, MD
• Sky Press, PA-S
• Peter Scott Pressman, M.D.
• Matthew Bradley Presson, DO
• Prestige Professional Pharmacy
• Prestige Rehab Or LLC
• Presto Quality Care, Inc.
• Joyce Marie Preston-Kuntz, CRNA
• Adele Kelly Preston

• Nursing Care Agency in Portland, OR
• Providers in Portland, OR by specialty
• Nursing Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.