Active NPI
Prestige Home Health Services LLC
- Health Maintenance Organization
- Westerville, OH
National Provider Identifier
1609321710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 1234567
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8135902 | Other | OH | BUSSINESS ID |
| 1234567 | Other | OH | WAIVER-PROGRAM |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Non-emergency Medical Transport (VAN)
- Columbus, OH
- NPI 1043502040
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.