Prestige Manor Business LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PRESTIGE MANOR BUSINESS LLC

Practice address

6040 SE Front Rd
Belleview, FL 34420-3326

Phone

(469) 739-6473

NPI assigned

Mar 24, 2022

Organization subpart

No

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

Authorized official

Name

Syed Husain

Title

Manager

Phone

(903) 618-0731

Specialties & licenses 1

Addresses

Other names 1

• Prestige Manor Doing business as

Tax ID family

Prestige Manor2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prestige Manor Business LLC

  • Assisted Living Facility
  • Belleview, FL
  • NPI 1538738299
  NPD tax ID

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1285384388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 SE BABB RD",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344204280",
            "telephone_number": "469-739-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 SE FRONT RD",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344203326",
            "telephone_number": "469-739-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE MANOR BUSINESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "HUSAIN",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "903-618-0731"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Molly Ann Poucher, APRN
• Julynnet Powell, RDN, LDN
• Claudia Jean Pratt
• Prestige 786 LLC
• Prestige Integrated Healthcare Solutions LLC
• Prestige Manor Business LLC
• Prestige Manor LLC
• Prestige Manor LLC
• Publix Super Markets, Inc.
• Edward Lorenzo Pullings Jr.

• Assisted Living Facility in Belleview, FL
• Providers in Belleview, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.