Organization Active NPI

Prestige Healthcare Services, Inc

  • Home Health Agency
  • Albuquerque, NM
National Provider Identifier
1932139730
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
3235 Issued in NM
Legal business name
PRESTIGE HEALTHCARE SERVICES, INC
Practice address
2900 Louisiana Blvd NE
Suite a-2
Albuquerque, NM 87110-3532
Phone
(505) 880-0400
Fax
(505) 880-0404
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Mrs. Roselyn K Dufour, RN, BSN
Title
Ceo
Phone
(505) 880-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 3235 NM Primary

Addresses

Primary practice location

2900 Louisiana Blvd NE
Suite a-2
Albuquerque, NM 87110-3532

Mailing address

2900 Louisiana Blvd NE
Suite a-2
Albuquerque, NM 87110-3532
Phone (505) 880-0400

National Provider Directory

National Provider Directory

Locations

2900 Louisiana Blvd NE
Ste A2
Albuquerque, NM 87110
Phone (505) 604-0221

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": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1932139730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 LOUISIANA BLVD NE",
            "address_2": "SUITE A-2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103532",
            "telephone_number": "505-880-0400",
            "fax_number": "505-880-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LOUISIANA BLVD NE",
            "address_2": "SUITE A-2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103532",
            "telephone_number": "505-880-0400",
            "fax_number": "505-880-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "DUFOUR",
        "authorized_official_first_name": "ROSELYN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-880-0400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "3235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.