Prestige Care Center

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

502700165 Issued in CA

Legal business name

PRESTIGE CARE CENTER

Practice address

474 Sunday Dr
Turlock, CA 95382-9625

Phone

(209) 534-3245

NPI assigned

Apr 6, 2018

Organization subpart

No

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

Authorized official

Name

Tanisha McNealNPI 1124525225

Title

Administrator/Owner

Phone

(209) 534-3245

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tanisha McNeal, FNP

  • Family Nurse Practitioner
  • Modesto, CA
  • NPI 1124525225
  NPD Authorized official

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1871090803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 SUNDAY DR",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953829625",
            "telephone_number": "209-534-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 SUNDAY DR",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953829625",
            "telephone_number": "209-534-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "MCNEAL",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "209-534-3245"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "CA",
            "license": "502700165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENTIAL CARE FACILITY",
            "identifier": "502700165",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guillermina Preciado Meza, DDS
• Leslie Preciado Reynoso
• Katie Preciado
• Premier Vascular and Vein Surgery Center
• Premium Urgent Care, Inc. (Premium Urgent Care)
• Leigh Anne Price, BCBA
• Primary Critical Care Limited Partnership
• Dan Wayne Prine, PSYD
• Leisa Prine, NP
• Danielle Marie Prock

• Physical Disabilities Residential Treatment Facility in Turlock, CA
• Providers in Turlock, CA by specialty
• Physical Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.