Organization Active NPI

Prestige Family Care Agency LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1790628006
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PRESTIGE FAMILY CARE AGENCY LLC
Practice address
1409 Washington Ave Ste 519
Saint Louis, MO 63103-1901
Phone
(314) 226-9302
Fax
(314) 226-9302
NPI assigned
Apr 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Nakya Marnell Brown
Title
Owner
Phone
(314) 225-9357

Specialties & licenses 1

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

Addresses

Primary practice location

1409 Washington Ave Ste 519
Saint Louis, MO 63103-1901

Mailing address

1409 Washington Ave Ste 519
Saint Louis, MO 63103-1901
Phone (314) 226-9302

National Provider Directory

National Provider Directory

Locations

1409 Washington Ave
Ste 519
Saint Louis, MO 63103
Phone (314) 226-9302

NPI Registry JSON

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

{
    "created_epoch": "1775865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1790628006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 WASHINGTON AVE STE 519",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031901",
            "telephone_number": "314-226-9302",
            "fax_number": "314-226-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 WASHINGTON AVE STE 519",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031901",
            "telephone_number": "314-226-9302",
            "fax_number": "314-226-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE FAMILY CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-11",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "NAKYA",
        "authorized_official_middle_name": "MARNELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-225-9357"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.