Prestige Adult Services LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

PRESTIGE ADULT SERVICES LLC

Practice address

4471 Clinton St
Marianna, FL 32446-3437

Phone

(850) 629-9492

NPI assigned

Jul 27, 2021

Organization subpart

No

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

Authorized official

Name

Luciana Pittman, LPN

Title

Partner

Phone

(850) 629-9492

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1659044592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415C CONSTITUTION LN # 343",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324484472",
            "telephone_number": "850-629-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4471 CLINTON ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324463437",
            "telephone_number": "850-629-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE ADULT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "LUCIANA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "850-629-9492",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Marianna, FL
• Providers in Marianna, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.