Active NPI
Prestige Companion & Homemakers, LLC
- In Home Supportive Care Agency
- Southbury, CT
National Provider Identifier
1346779618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- PRESTIGE COMPANION & HOMEMAKERS, LLC
- Practice address
- 77 Main St N Unit 100
Southbury, CT 06488-2200 - Phone
- (203) 262-0046
- Fax
- (203) 262-0047
- NPI assigned
- Jun 8, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Derrick Appiah
- Title
- President
- Phone
- (203) 262-0046
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Homemaker | 376J00000X | 0000617 | CT |
Addresses
Primary practice location
77 Main St N Unit 100
Southbury, CT 06488-2200
Mailing address
77 Main St N Unit 100
Southbury, CT 06488-2200
Phone (203) 262-0046
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008056979 | Other | CT | MEDICAID |
| 008056979 | Medicaid | CT | |
| 008067809 | Medicaid | CT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | management@prestigecandh.com |
National Provider Directory
National Provider DirectoryLocations
77 Main St N
Unit 100
Southbury, CT 06488
Phone (203) 262-0046
32 Poverty Rd
Ste F
Southbury, CT 06488
Phone (203) 589-0552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654128000000",
"number": "1346779618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 MAIN ST N UNIT 100",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064882200",
"telephone_number": "203-262-0046",
"fax_number": "203-262-0047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 MAIN ST N UNIT 100",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064882200",
"telephone_number": "203-262-0046",
"fax_number": "203-262-0047"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESTIGE COMPANION & HOMEMAKERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-08",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A",
"authorized_official_last_name": "APPIAH",
"authorized_official_first_name": "DERRICK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-262-0046",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Homemaker",
"state": "CT",
"license": "0000617",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "008056979",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008056979",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008067809",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "management@prestigecandh.com",
"affiliation": "N",
"endpointDescription": "email address",
"address_1": "77 Main St N Unit 100",
"city": "Southbury",
"state": "CT",
"country_code": "US",
"postal_code": "064882200",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Southbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.