Organization Active NPI

Prestige Senior Home Care LLC

  • Home Health Agency
  • Brownstown, MI
National Provider Identifier
1265298392
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRESTIGE SENIOR HOME CARE LLC
Practice address
19068 Pine Ledge Dr
Brownstown, MI 48193-7494
Phone
(734) 286-4878
NPI assigned
Feb 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Ma Isabel Esquible, CARE GIVER
Title
Director
Phone
(734) 286-4878

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Adult Day Care Clinic/Center 261QA0600X
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

19068 Pine Ledge Dr
Brownstown, MI 48193-7494

Mailing address

19068 Pine Ledge Dr
Brownstown, MI 48193-7494
Phone (734) 286-4878

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1265298392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19068 PINE LEDGE DR",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481937494",
            "telephone_number": "734-286-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19068 PINE LEDGE DR",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481937494",
            "telephone_number": "734-286-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE SENIOR HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "ESQUIBLE",
        "authorized_official_first_name": "MA",
        "authorized_official_middle_name": "ISABEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "734-286-4878",
        "authorized_official_credential": "CARE GIVER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownstown, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.