Organization Active NPI

Prestige Home Care, LLC

  • In Home Supportive Care Agency
  • Portland, ME
National Provider Identifier
1780201343
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PRESTIGE HOME CARE, LLC
Practice address
75 Bishop St Ste 8
Portland, ME 04103-2614
Phone
(207) 705-3300
NPI assigned
Jun 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Authorized official

Name
Tareq Falih Al Taher
Title
Owner
Phone
(207) 705-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

75 Bishop St Ste 8
Portland, ME 04103-2614

Mailing address

75 Bishop St Ste 8
Portland, ME 04103-2614
Phone (207) 705-3300

National Provider Directory

National Provider Directory

Locations

75 Bishop St
Ste 8
Portland, ME 04103
Phone (207) 705-3300

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1780201343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BISHOP ST STE 8",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032614",
            "telephone_number": "207-705-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BISHOP ST STE 8",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032614",
            "telephone_number": "207-705-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "AL TAHER",
        "authorized_official_first_name": "TAREQ",
        "authorized_official_middle_name": "FALIH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-705-3300"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.