Organization Active NPI

Prestige Homehealthcare Services

  • Home Health Agency
  • North Bethesda, MD
National Provider Identifier
1942032495
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRESTIGE HOMEHEALTHCARE SERVICES
Doing business as
Prestige HomeHealthcare Services
Practice address
11810 Grand Park Ave Ste 500
North Bethesda, MD 20852-8679
Phone
(301) 366-1417
NPI assigned
Aug 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Mr. Eugene Otubuah
Title
Adminstrator
Phone
(508) 736-3326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11810 Grand Park Ave Ste 500
North Bethesda, MD 20852-8679

Mailing address

11810 Grand Park Ave Ste 500
North Bethesda, MD 20852-8679
Phone (508) 736-3326

Other names 1

  • Prestige HomeHealthcare Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1942032495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11810 GRAND PARK AVE STE 500",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208528679",
            "telephone_number": "508-736-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11810 GRAND PARK AVE STE 500",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208528679",
            "telephone_number": "301-366-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE HOMEHEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "OTUBUAH",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "508-736-3326",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige HomeHealthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Bethesda, MD

Sources for this page

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