Prestige Adhc Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

PRESTIGE ADHC INC

Practice address

1765 S Main St Ste 101
Milpitas, CA 95035-6764

Phone

(408) 586-9000

Fax

(408) 516-8304

NPI assigned

Apr 22, 2008

Last updated

Sep 6, 2023By 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

Celso Costelo

Title

Administrator

Phone

(408) 476-8774

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1558535476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 S MAIN ST STE 101",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356764",
            "telephone_number": "408-586-9000",
            "fax_number": "408-516-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 S MAIN ST STE 101",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356764",
            "telephone_number": "408-586-9000",
            "fax_number": "408-516-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE ADHC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "COSTELO",
        "authorized_official_first_name": "CELSO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "408-476-8774"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Milpitas, CA
• Providers in Milpitas, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.