Active NPI
Prestige Home Care Inc.
- Personal Care Attendant
- Charlotte, NC
National Provider Identifier
1386989754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Legal business name
- PRESTIGE HOME CARE INC.
- Practice address
- 1801 N Tryon St
Suite 604
Charlotte, NC 28206-2704 - Phone
- (704) 405-8557
- NPI assigned
- Dec 11, 2012
- 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
- Teresia Medley
- Title
- Administrator
- Phone
- (704) 405-8557
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
1801 N Tryon St
Suite 604
Charlotte, NC 28206-2704
Mailing address
1801 N Tryon St
Suite 604
Charlotte, NC 28206-2704
National Provider Directory
National Provider DirectoryLocations
1801 N Tryon St
Ste 604
Charlotte, NC 28206
Phone (704) 405-8557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355184000000",
"number": "1386989754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 N TRYON ST",
"address_2": "SUITE 604",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282062704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 N TRYON ST",
"address_2": "SUITE 604",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282062704",
"telephone_number": "704-405-8557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESTIGE HOME CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-11",
"last_updated": "2012-12-11",
"status": "A",
"authorized_official_last_name": "MEDLEY",
"authorized_official_first_name": "TERESIA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "704-405-8557"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.