Organization Active NPI

Prestige Home Health Services LLC

  • Health Maintenance Organization
  • Westerville, OH
National Provider Identifier
1609321710
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
1234567 Issued in OH
Legal business name
PRESTIGE HOME HEALTH SERVICES LLC
Practice address
623 Park Meadow Rd Ste C
Westerville, OH 43081
Phone
(614) 966-2141
NPI assigned
Aug 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Mr. Abdi Jama
Title
Owner
Phone
(614) 966-2141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 1234567 OH Primary

Addresses

Primary practice location

623 Park Meadow Rd Ste C
Westerville, OH 43081

Mailing address

623 Park Meadow Rd Ste C
Westerville, OH 43081-2876
Phone (614) 966-2141

Other practice location 1

1001 Eastwind Dr
Suite
Westerville, OH 43081-5308
Phone (614) 966-2141

Other identifiers 2

IdentifierTypeStateIssuer
8135902OtherOHBUSSINESS ID
1234567OtherOHWAIVER-PROGRAM

National Provider Directory

National Provider Directory

Locations

623 Park Meadow Rd
Ste C
Westerville, OH 43081
Phone (614) 966-2141

1001 Eastwind Dr
Westerville, OH 43081
Phone (614) 966-2141

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1609321710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 PARK MEADOW RD STE C",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812876",
            "telephone_number": "614-966-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 PARK MEADOW RD STE C",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "43081",
            "telephone_number": "614-966-2141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Eastwind Dr",
            "address_2": "Suite",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430815308",
            "country_code": "US",
            "telephone_number": "614-966-2141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRESTIGE HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "ABDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-966-2141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OH",
            "license": "1234567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSSINESS ID",
            "identifier": "8135902",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAIVER-PROGRAM",
            "identifier": "1234567",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.