Organization Active NPI

Prestigious Care Homes LLC

  • Assisted Living Facility
  • Robbinsdale, MN
National Provider Identifier
1629769815
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PRESTIGIOUS CARE HOMES LLC
Practice address
4369 Ewing Ave N
Robbinsdale, MN 55422-1559
Phone
(763) 910-8070
NPI assigned
May 17, 2023
Last updated
May 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Marie Dweh, RN
Title
Owner/ Nurse
Phone
(763) 910-8070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4369 Ewing Ave N
Robbinsdale, MN 55422-1559

Mailing address

4369 Ewing Ave N
Robbinsdale, MN 55422-1559
Phone (763) 910-8070

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2273795Prestigious Care Homes4369 Ewing Ave, Robbinsdale, MN 55422Certificate of waiverDec 19, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1629769815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4369 EWING AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554221559",
            "telephone_number": "763-910-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4369 EWING AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554221559",
            "telephone_number": "763-910-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGIOUS CARE HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "DWEH",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/ NURSE",
        "authorized_official_telephone_number": "763-910-8070",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.