Prestige Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRESTIGE HOME HEALTH CARE LLC

Practice address

3120 N 19TH Ave
Suite 170
Phoenix, AZ 85015-6052

Phone

(602) 279-8471

Fax

(602) 279-0296

NPI assigned

Sep 29, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Bolan B Ogunde

Title

Chief Financial Officer

Phone

(602) 739-7170

Specialties & licenses 1

Addresses

Listed as

Prestige Home Health Care, LLCCCN 037274

Ownership

Proprietary

Certified

Jun 7, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Abiodun A Ogunde, NP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1407704968
  NPD

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1275783003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18951",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850058951",
            "telephone_number": "602-279-8471",
            "fax_number": "602-279-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 N 19TH AVE",
            "address_2": "SUITE 170",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850156052",
            "telephone_number": "602-279-8471",
            "fax_number": "602-279-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "OGUNDE",
        "authorized_official_first_name": "BOLAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "602-739-7170",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Lawrence Press, OTR/L
• Anya Liese Pressendo, BS, RBT
• Shari Pressley, MD
• Prestige Companion Care, LLC
• Prestige Group Homes
• Prestige Interventional Group, LLC
• Prestige Personal Care LLC
• Deja Prestige, LAC
• Andrew J. Presto, M.D.
• Charles Preston, M.D.

• Home Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.