Organization Active NPI

Presitge Management Group LLC

  • Case Management Agency
  • Columbia, SC
National Provider Identifier
1487009437
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PRESITGE MANAGEMENT GROUP LLC
Practice address
15 Long Glen CT
Columbia, SC 29229-7742
Phone
(404) 580-2824
NPI assigned
Apr 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Authorized official

Name
Keanan Grant
Title
Owner
Phone
(404) 580-2824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

15 Long Glen CT
Columbia, SC 29229-7742

Mailing address

3702 Manigault PL SE
Mableton, GA 30126-2841

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1487009437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 MANIGAULT PL SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301262841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LONG GLEN CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297742",
            "telephone_number": "404-580-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESITGE MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "KEANAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-580-2824"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.