Prestige Community Living Center

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

PCH008531 Issued in GA

Legal business name

PRESTIGE COMMUNITY LIVING CENTER

Practice address

2328 Bigwood TRL
Atlanta, GA 30349-9049

Phone

(678) 983-4330

NPI assigned

May 26, 2015

Organization subpart

No

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

Authorized official

Name

Adeyemi Makanjuola

Title

Ceo

Phone

(678) 761-5414

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1548649494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 BIGWOOD TRL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303499049",
            "telephone_number": "678-983-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 BIGWOOD TRL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303499049",
            "telephone_number": "678-983-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE COMMUNITY LIVING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "MAKANJUOLA",
        "authorized_official_first_name": "ADEYEMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-761-5414"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": "PCH008531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Presmy
• Deborah G Press, D.D.S.
• Osciriah Sostan Press, M.D.
• Pamela Lynn Pressnall, RN
• Lois M Prest, APRN
• Prestige Healthcare Atlanta, LLC
• Prestige Healthcare South LLC
• Prestige Healthcare South LLC
• Prestige Medical & Testing Solutions
• Prestige Therapy LLC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.