Prestige Care Assisted Living, LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

PRESTIGE CARE ASSISTED LIVING, LLC

Practice address

4019 Wendy Dr
Orlando, FL 32808-1832

Phone

(321) 947-6372

NPI assigned

Jan 15, 2020

Organization subpart

No

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

Authorized official

Name

Sandra Venord Dorval

Title

Owner

Phone

(321) 947-6372

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1275163412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4019 WENDY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328081832",
            "telephone_number": "321-947-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4019 WENDY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328081832",
            "telephone_number": "321-947-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE CARE ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "DORVAL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "VENORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-947-6372"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Renee Pressimone, M.A. ITDS
• Kevin Lee Pressley, D.O.
• Kaylin Prestage, MD
• Adreanna Prestenbach
• Prestige Artistic Therapy Group Inc
• Prestige Home Health Agency LL
• Prestige Massage & Rehab Center, LLC
• Prestige Medi Services & Rehab
• Prestige Medic Services & Rehab Center LLC
• Prestige Medical Serv & Reh Cent

• Assisted Living Facility (Mental Illness) in Orlando, FL
• Providers in Orlando, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.