Organization Active NPI

Prestige Care Solutions LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1912413840
Registry record updated Dec 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PRESTIGE CARE SOLUTIONS LLC
Practice address
774 Harvard Ave
Saint Louis, MO 63130-3134
Phone
(314) 761-8002
NPI assigned
Dec 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2017

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

Authorized official

Name
Shanell White
Title
Owner
Phone
(314) 761-8002

Specialties & licenses 1

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

Addresses

Primary practice location

774 Harvard Ave
Saint Louis, MO 63130-3134

Mailing address

1515 N Warson Rd Ste 122
Saint Louis, MO 63132-1108

National Provider Directory

National Provider Directory

Locations

1515 N Warson Rd
Ste 122
Saint Louis, MO 63132
Phone (314) 731-6444

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513209600000",
    "number": "1912413840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N WARSON RD STE 122",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631321108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 HARVARD AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631303134",
            "telephone_number": "314-761-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE CARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-14",
        "last_updated": "2017-12-14",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SHANELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-761-8002"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; 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.