Active NPI
Prestige Home Health Services, Corp
- Home Health Agency
- Miami, FL
National Provider Identifier
1255424909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HH299992085
- Legal business name
- PRESTIGE HOME HEALTH SERVICES, CORP
- Practice address
- 7220 NW 36TH St
Suite 307a
Miami, FL 33166 - Phone
- (305) 468-9017
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Angelica D Caballero
- Title
- Administrator
- Phone
- (305) 468-9017
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HH299992085 | FL | Primary |
Addresses
Primary practice location
7220 NW 36TH St
Suite 307a
Miami, FL 33166
Mailing address
7220 NW 36TH St
Suite 307a
Miami, FL 33166
Phone (305) 468-9017
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6511929 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
7220 NW 36th St
Ste 307A
Miami, FL 33166
Phone (305) 468-9017
7220 NW 36th St
Ste 307
Miami, FL 33166
Phone (305) 468-9017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268352000000",
"number": "1255424909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7220 NW 36TH ST",
"address_2": "SUITE 307A",
"city": "MIAMI",
"state": "FL",
"postal_code": "33166",
"telephone_number": "305-468-9017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7220 NW 36TH ST",
"address_2": "SUITE 307A",
"city": "MIAMI",
"state": "FL",
"postal_code": "33166",
"telephone_number": "305-468-9017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESTIGE HOME HEALTH SERVICES, CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2010-03-12",
"status": "A",
"authorized_official_last_name": "CABALLERO",
"authorized_official_first_name": "ANGELICA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "305-468-9017",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "HH299992085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6511929",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.