Prestigious Academy Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

LZ-0000183 Issued in WI

Legal business name

PRESTIGIOUS ACADEMY INC

Practice address

2624 N 16TH St
Milwaukee, WI 53206-2014

Phone

(414) 265-8181

Fax

(414) 265-7998

NPI assigned

Jan 8, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Eb Coleman

Title

President

Phone

(414) 702-3792

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1902313299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 N 16TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532062014",
            "telephone_number": "414-265-8181",
            "fax_number": "414-265-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 N 16TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532062014",
            "telephone_number": "414-265-8181",
            "fax_number": "414-265-7998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8879 N 70th St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532232109",
            "country_code": "US",
            "telephone_number": "414-206-4679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2628 N 16th St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532062014",
            "country_code": "US",
            "telephone_number": "414-562-1468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRESTIGIOUS ACADEMY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "EB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-702-3792",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": "LZ-0000183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John E. Prestby, PHD
• Kelsey Prestby, RDN
• Brianna Victoria Prestegaard, MS, CF-SLP
• Prestige Adult Day Care Center LLC
• Prestige Care Helpers
• Preston Priority Rides
• Daniel Lee Preston
• Levi M Preston, CSAC
• Meshelle Preston, SAC-IT
• Patrice Denise Preston

• Home Health Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.