Prestige Home Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRESTIGE HOME HEALTHCARE LLC

Practice address

930 Crescent St Ste 1
Brockton, MA 02302-3445

Phone

(617) 771-0792

NPI assigned

May 6, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Keny Petit-Frere

Title

Manager

Phone

(617) 771-0792

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1316736143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 CRESCENT ST STE 1",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023445",
            "telephone_number": "617-771-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 CRESCENT ST STE 1",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023445",
            "telephone_number": "617-771-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "PETIT-FRERE",
        "authorized_official_first_name": "KENY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-771-0792",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Brockton, MA
• Providers in Brockton, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.