Prestige Estates Assisted Living, Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

PRESTIGE ESTATES ASSISTED LIVING, INC

Doing business as

Prestige Companions Home Care Of Nc

Practice address

4120 Holt School Rd
Durham, NC 27704-1439

Phone

(919) 797-0062

Fax

(919) 797-0514

NPI assigned

May 9, 2012

Last updated

Oct 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Donnessa Lameka Darden

Title

Owner/Admin

Phone

(919) 519-1602

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prestige Companions Home Care Of Nc Doing business as

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1548529738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15940",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27704",
            "telephone_number": "919-797-0062",
            "fax_number": "919-797-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 HOLT SCHOOL RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041439",
            "telephone_number": "919-797-0062",
            "fax_number": "919-797-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE ESTATES ASSISTED LIVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "DARDEN",
        "authorized_official_first_name": "DONNESSA",
        "authorized_official_middle_name": "LAMEKA",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "919-519-1602",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7806692",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Companions Home Care Of Nc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in Durham, NC
• Providers in Durham, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.