Organization Active NPI

Prestige Management Co., Inc.

Doing business as Optimal Home Care

  • Home Health Agency
  • Covina, CA
National Provider Identifier
1801873906
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRESTIGE MANAGEMENT CO., INC.
Doing business as
Optimal Home Care
Practice address
643 S 2ND Ave
Suite a
Covina, CA 91723-3512
Phone
(626) 859-9200
Fax
(626) 859-9220
NPI assigned
Dec 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Leannie Chua, RN
Title
Administrator
Phone
(626) 859-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

643 S 2ND Ave
Suite a
Covina, CA 91723-3512

Mailing address

643 S 2ND Ave
Suite a
Covina, CA 91723-3512
Phone (626) 859-9200

Other identifiers 1

IdentifierTypeStateIssuer
HHA57497HMedicaidCA

Other names 1

  • OPTIMAL HOME CARE Doing business as

National Provider Directory

National Provider Directory

Locations

16039 Kaplan Ave
City of Industry, CA 91744
Phone (909) 348-3060

643 S 2nd Ave
Ste A
Covina, CA 91723
Phone (626) 859-9200

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801873906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 S 2ND AVE",
            "address_2": "SUITE A",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233512",
            "telephone_number": "626-859-9200",
            "fax_number": "626-859-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 S 2ND AVE",
            "address_2": "SUITE A",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233512",
            "telephone_number": "626-859-9200",
            "fax_number": "626-859-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE MANAGEMENT CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHUA",
        "authorized_official_first_name": "LEANNIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-859-9200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA57497H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPTIMAL HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.