NPIMap

Organization Active NPI

Prestige Comfort Home Care LLC

  • In Home Supportive Care Agency
  • Columbus, OH
National Provider Identifier
1922638964
Registry record updated Feb 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PRESTIGE COMFORT HOME CARE LLC
Practice address
3993 Leather Stocking TRL
Columbus, OH 43230-1528
Phone
(614) 806-8647
NPI assigned
Jan 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2020

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

Authorized official

Name
Jacqueline ReavesNPI 1194365692
Title
Ceo/Owner
Phone
(614) 758-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3993 Leather Stocking TRL
Columbus, OH 43230-1528

Mailing address

PO Box 307514
Gahanna, OH 43230-7514
Phone (614) 758-7700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pchomecare@mail.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581811200000",
    "number": "1922638964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307514",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432307514",
            "telephone_number": "614-758-7700",
            "fax_number": "404-795-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3993 LEATHER STOCKING TRL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432301528",
            "telephone_number": "614-806-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE COMFORT HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-02-16",
        "certification_date": "2020-02-16",
        "status": "A",
        "authorized_official_last_name": "REAVES",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "614-758-7700"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pchomecare@mail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3993 Leather Stocking Trl",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432301528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2020; 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.