Prestige Homemaker & Companion Care Agency

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PRESTIGE HOMEMAKER & COMPANION CARE AGENCY

Practice address

4625 Lee Blvd
Lehigh Acres, FL 33971-1620

Phone

(239) 245-1697

NPI assigned

Jan 31, 2023

Organization subpart

No

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

Authorized official

Name

Melecia Callum Tyehiba

Title

Ceo

Phone

(239) 245-1697

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1407552656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 LEE BLVD",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711620",
            "telephone_number": "239-245-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 LEE BLVD",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711620",
            "telephone_number": "239-245-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE HOMEMAKER & COMPANION CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "CALLUM TYEHIBA",
        "authorized_official_first_name": "MELECIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-245-1697"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelson Prado Canto
• Lizbeth Prado-Pena
• Paige Lynn Prather, LPN, LMT
• Nayivis Preciado Valdes
• Prestige ABA Services LLC
• Betsy Prieto Borges, RBT-26-516502
• Glenda Prieto
• Prime Healthcare Services - Lehigh Physician Management LLC
• Prime Healthcare Services-Lehigh Acres LLC
• Prime Healthcare Services-Lehigh Acres LLC (Lehigh Regional Medical Center)

• In Home Supportive Care Agency in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.