Prestige Realty Services,Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

21483601 Issued in PA

Legal business name

PRESTIGE REALTY SERVICES,INC.

Practice address

1165 Red Fox Rd
East Stroudsburg, PA 18301-9106

Phone

(570) 424-9660

Fax

(570) 424-9661

NPI assigned

Sep 9, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Heidemarie Hafner, R.N.

Title

President

Phone

(570) 424-9660

Specialties & licenses 1

Addresses

Other names 1

• PRESTIGE PROFESSIONAL NURSING SERVICES Doing business as

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1659653285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 RED FOX RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019106",
            "telephone_number": "570-424-9660",
            "fax_number": "570-424-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 RED FOX RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019106",
            "telephone_number": "570-424-9660",
            "fax_number": "570-424-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE REALTY SERVICES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "HAFNER",
        "authorized_official_first_name": "HEIDEMARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-424-9660",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "PA",
            "license": "21483601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRESTIGE PROFESSIONAL NURSING SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursing Facility/Intermediate Care Facility in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Nursing Facility/Intermediate Care Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.