Prestige Care Home/Angelic Visits

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

0000000565 Issued in TN

Legal business name

PRESTIGE CARE HOME/ANGELIC VISITS

Practice address

2051 Montreat Dr
Memphis, TN 38134-6613

Phone

(901) 281-8292

Fax

(901) 388-7366

NPI assigned

Aug 11, 2015

Organization subpart

No

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

Authorized official

Name

Shirley Spiller-Johnson

Title

Nurse Administrator

Phone

(901) 281-8292

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Angelic Visits Other name

Tax ID family

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

Other organizations with this tax ID 2

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

• Prestige Care Home

  • Assisted Living Facility
  • Memphis, TN
  • NPI 1609264142
  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": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1649656844",
    "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/ANGELIC VISITS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "SPILLER-JOHNSON",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "NURSE ADMINISTRATOR",
        "authorized_official_telephone_number": "901-281-8292"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "0000000565",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "0000000565",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445488",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angelic Visits",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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

• Home Health Agency in Memphis, TN
• Providers in Memphis, TN by specialty
• Home Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.