NPIMap

Organization Active NPI

Prestige Health LLC

  • In Home Supportive Care Agency
  • Omaha, NE
National Provider Identifier
1811797368
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PRESTIGE HEALTH LLC
Practice address
4316 Grand Ave
Omaha, NE 68111-1855
Phone
(402) 812-5640
NPI assigned
Mar 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Carlisa Moore, RN BSNNPI 1598653719
Title
Owner
Phone
(402) 812-5640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4316 Grand Ave
Omaha, NE 68111-1855

Mailing address

4316 Grand Ave
Omaha, NE 68111-1855
Phone (402) 812-5640

Other names 1

  • Prestige Health LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1811797368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 GRAND AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681111855",
            "telephone_number": "402-812-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 GRAND AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681111855",
            "telephone_number": "402-812-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CARLISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-812-5640",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.