Prestige Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

0000000565 Issued in TN

Legal business name

PRESTIGE CARE HOME

Practice address

2051 Montreat Dr
Memphis, TN 38134-6613

Phone

(901) 281-8292

Fax

(901) 388-7366

NPI assigned

Jan 7, 2015

Organization subpart

Yes

Parent organization

PRESTIGE CARE HOMEAs reported in NPPES

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

Authorized official

Name

Shirley Spiller-Johnson, LPN

Title

Owner/Administrator

Phone

(901) 281-8292

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Angelic Visits Senior Support Agency Other name

Tax ID family

Prestige Care Home3 organizations share this tax ID, including this one

Part of

Prestige Care Home

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Prestige Care Home/Angelic Visits

  • Home Health Agency
  • Memphis, TN
  • NPI 1649656844
  NPD tax ID
• Shirley Ann Spiller-Johnson

  • Adult Care Home Facility
  • Memphis, TN
  • NPI 1437468295
  NPD tax ID

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1609264142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 MONTREAT DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381346613",
            "telephone_number": "901-281-8292",
            "fax_number": "901-388-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 MONTREAT DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381346613",
            "telephone_number": "901-281-8292",
            "fax_number": "901-388-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE CARE HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESTIGE CARE HOME",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "SPILLER-JOHNSON",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "901-281-8292",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "0000000565",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "0000000565",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "TN",
            "license": "0000000565",
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "TN",
            "license": "0000000565",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TN",
            "license": "0000000565",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "TN",
            "license": "0000000565",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445488",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angelic Visits Senior Support Agency",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chaela Presley, PHARM.D.
• Megan Melissa Presley, PHARMD
• Alan E Pressman, OD
• Steve F Presson, D.PH
• Pressure Management Resources, LLC
• Prestige Care Home/Angelic Visits
• Prestige Carriers
• Prestige Dental DDS PC
• Prestige in Home Health Care LLC.
• Prestige Senior Living of Tennessee

• Assisted Living Facility in Memphis, TN
• Providers in Memphis, TN by specialty
• Assisted Living Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.