Prestige Centre

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

PRESTIGE CENTRE

Practice address

5785 E Broadway Road
Mt Pleasant, MI 48858

Phone

(989) 773-7921

Fax

(989) 779-1160

NPI assigned

Sep 19, 2024

Organization subpart

No

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

Authorized official

Name

Megan Lee Fry

Title

Licensee

Phone

(989) 773-9421

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1922835180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5785 E BROADWAY ROAD",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-773-7921",
            "fax_number": "989-779-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5785 E BROADWAY ROAD",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-773-7921",
            "fax_number": "989-779-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "989-773-9421"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Potie, LCSW
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• Prasad Shankariah MD PC
• Mary Jo Pray
• Precision Optical Services of Mt Pleasant LLC
• Delana Lynn Price
• Prime Care DME LLC
• Paul Babano Prin, PT
• Stephen Michael Prince, OD
• Promed Preferred Mi 4 PLLC

• Adult Care Home Facility in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.