Organization Active NPI

Prestige Living Center Inc.

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1568509701
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
008656 Issued in TX
Legal business name
PRESTIGE LIVING CENTER INC.
Practice address
6206 Sanford Rd
Houston, TX 77096-5729
Phone
(832) 274-8636
Fax
(713) 772-0701
NPI assigned
Jan 30, 2007
Last updated
Aug 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Veronica E. Obomese
Title
Administrator
Phone
(832) 274-8636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 008656 TX Primary

Addresses

Primary practice location

6206 Sanford Rd
Houston, TX 77096-5729

Mailing address

6206 Sanford Rd
Houston, TX 77096-5729
Phone (832) 274-8636

Other identifiers 1

IdentifierTypeStateIssuer
001013249MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1568509701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6206 SANFORD RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770965729",
            "telephone_number": "832-274-8636",
            "fax_number": "713-772-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6206 SANFORD RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770965729",
            "telephone_number": "832-274-8636",
            "fax_number": "713-772-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE LIVING CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "OBOMESE",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-274-8636"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001013249",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.