Prestige Community Services LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

PRESTIGE COMMUNITY SERVICES LLC

Practice address

3903 Forestdale Ave
Woodbridge, VA 22193-2227

Phone

(703) 839-0438

NPI assigned

Nov 9, 2022

Organization subpart

No

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

Authorized official

Name

Clement Nkansah

Title

Ceo

Phone

(703) 839-0438

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1538877477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 FORESTDALE AVE",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 FORESTDALE AVE",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932227",
            "telephone_number": "703-839-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "NKANSAH",
        "authorized_official_first_name": "CLEMENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-839-0438"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Medical Transportation
• Premier Plus Community Living LLC
• Nicole Prescott
• Cyrus Minoo Press, M.D.
• Prestige Chiropractic, LLC (Prestige Chiropractic)
• Prestige in-Home Services LLC
• Prashini Price Bailey
• Florene Barlow Price, QMHP-A
• Jamar Pridgen, RBT
• Ruth Maria Prieto-Conrad, APRN, FNP-BC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.