Prestige Haven Care Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PRESTIGE HAVEN CARE SERVICES

Practice address

4824 S US Highway 1
Fort Pierce, FL 34982-7013

Phone

(772) 646-3006

Fax

(772) 273-4353

NPI assigned

May 7, 2025

Organization subpart

No

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

Authorized official

Name

Manoucheka Favard

Title

Owner

Phone

(772) 646-3006

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1740070432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4824 S US HIGHWAY 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349827013",
            "telephone_number": "772-646-3006",
            "fax_number": "772-273-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 S US HIGHWAY 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349827013",
            "telephone_number": "772-646-3006",
            "fax_number": "772-273-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE HAVEN CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "FAVARD",
        "authorized_official_first_name": "MANOUCHEKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-646-3006"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Fort Pierce, FL
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• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.