Prestige Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRESTIGE HEALTH SERVICES LLC

Practice address

1770 Indian Trail Lilburn Rd Ste 420
Norcross, GA 30093-2644

Phone

(404) 475-2600

NPI assigned

Aug 17, 2019

Organization subpart

No

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

Authorized official

Name

Christine Clerizier, RN

Title

Ceo/RN

Phone

(678) 571-2528

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1566000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566000000000",
    "number": "1497301170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 SUMMIT VALLEY DR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194008",
            "telephone_number": "678-571-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 INDIAN TRAIL LILBURN RD STE 420",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932644",
            "telephone_number": "404-475-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-17",
        "last_updated": "2019-08-17",
        "status": "A",
        "authorized_official_last_name": "CLERIZIER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CEO/RN",
        "authorized_official_telephone_number": "678-571-2528",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000111222333",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prestigehealthservicesllc@outlook.com",
            "affiliation": "N",
            "address_1": "1770 Indian Trail Lilburn Rd Ste 420",
            "city": "Norcross",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300932644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Norcross, GA
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2019; 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.