MD's Prestigious Healthcare LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

MD'S PRESTIGIOUS HEALTHCARE LLC

Practice address

6207 Portal Dr
Houston, TX 77096-5725

Phone

(713) 204-9800

NPI assigned

May 13, 2016

Organization subpart

No

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

Authorized official

Name

Michelah Madison, LVN

Title

Ceo

Phone

(713) 204-9800

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1609223130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6207 PORTAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770965725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6207 PORTAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770965725",
            "telephone_number": "713-204-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD'S PRESTIGIOUS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "MICHELAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-204-9800",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Houston, TX
• Providers in Houston, TX by specialty
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.