Active NPI
Prestige Healthcare Solutions LLC
- Home Health Agency
- Coon Rapids, MN
National Provider Identifier
1508633561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.