Organization Active NPI

Prestige Companion & Homemakers, LLC

  • In Home Supportive Care Agency
  • Southbury, CT
National Provider Identifier
1346779618
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Jun 2, 2022

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)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
HomemakerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
008056979OtherCTMEDICAID
008056979MedicaidCT
008067809MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address management@prestigecandh.com

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.