Prestige Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PRESTIGE HOMECARE LLC

Practice address

11670 Fountains Dr Ste 200
Maple Grove, MN 55369-7195

Phone

(763) 445-2694

NPI assigned

May 24, 2013

Organization subpart

No

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

Authorized official

Name

Sokuntheari Hang

Title

Owner/Administrator

Phone

(763) 445-2694

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1275970782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11670 FOUNTAINS DR STE 200",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11670 FOUNTAINS DR STE 200",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697195",
            "telephone_number": "763-445-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "HANG",
        "authorized_official_first_name": "SOKUNTHEARI",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "763-445-2694"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn M Powers, PHD
• Prairie River Home Care
• Prairiecare
• Preferred Home Care Services Inc.
• Premise Health of Minnesota Medical P C
• Andrea Price, PT
• Roberta Van Amber Prigge
• Chelsie Rae Prinsen, ATR
• Pro Medical Services, Inc.
• Samantha Marie Proctor, OTDR/L

• In Home Supportive Care Agency in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• In Home Supportive Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.