Organization Active NPI

Prestige Personal Care LLC

  • In Home Supportive Care Agency
  • Phoenix, AZ
National Provider Identifier
1881257848
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PRESTIGE PERSONAL CARE LLC
Practice address
2415 E Camelback Rd Ste 774
Phoenix, AZ 85016-4288
Phone
(602) 677-7193
NPI assigned
Apr 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Authorized official

Name
Haregewyin Habte
Title
Administrator
Phone
(602) 677-7193

Specialties & licenses 1

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

Addresses

Primary practice location

2415 E Camelback Rd Ste 774
Phoenix, AZ 85016-4288

Mailing address

3000 E Main St Ste B
Columbus, OH 43209-3717
Phone (602) 677-7193

National Provider Directory

National Provider Directory

Locations

2415 E Camelback Rd
Ste 774
Phoenix, AZ 85016
Phone (602) 677-7193

3000 E Main St
Ste B
Columbus, OH 43209
Phone (614) 780-8215

NPI Registry JSON

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1881257848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 E MAIN ST STE B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432093717",
            "telephone_number": "602-677-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 E CAMELBACK RD STE 774",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164288",
            "telephone_number": "602-677-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE PERSONAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "HABTE",
        "authorized_official_first_name": "HAREGEWYIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-677-7193"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.