Prestige Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRESTIGE HOME CARE LLC

Practice address

515 Bergen Ave
Lakewood, NJ 08701-3606

Phone

(516) 660-1326

NPI assigned

Oct 2, 2019

Organization subpart

No

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

Authorized official

Name

Bella Ganzvi

Title

Owner/President

Phone

(516) 660-1326

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1902447832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 MONMOUTH AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013209",
            "telephone_number": "732-267-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 BERGEN AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013606",
            "telephone_number": "516-660-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "GANZVI",
        "authorized_official_first_name": "BELLA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "516-660-1326"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.