Organization Active NPI

Prestige Healthcare Solutions LLC

  • Home Health Agency
  • Coon Rapids, MN
National Provider Identifier
1508633561
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRESTIGE HEALTHCARE SOLUTIONS LLC
Practice address
3140 Northdale Blvd NW Apt 120
Coon Rapids, MN 55433-0005
Phone
(612) 443-8210
NPI assigned
Dec 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Authorized official

Name
Asha Ahmed
Title
Owner
Phone
(612) 443-8210

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

3140 Northdale Blvd NW Apt 120
Coon Rapids, MN 55433-0005

Mailing address

6417 Penn Ave S Ste 7
Minneapolis, MN 55423-1196
Phone (612) 443-8210

National Provider Directory

National Provider Directory

Locations

6417 Penn Ave S
Ste 7
Minneapolis, MN 55423
Phone (320) 289-9735

NPI Registry JSON

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1508633561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 PENN AVE S STE 7",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554231196",
            "telephone_number": "612-443-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 NORTHDALE BLVD NW APT 120",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554330005",
            "telephone_number": "612-443-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE HEALTHCARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-443-8210"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.