Prestige Support Services Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PRESTIGE SUPPORT SERVICES INC

Practice address

1317 Wood Lake Cir
Saint Cloud, FL 34772-7467

Phone

(407) 593-2621

NPI assigned

Aug 3, 2021

Organization subpart

No

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

Authorized official

Name

Kenya AlaNPI 1164195418

Title

Owner

Phone

(912) 432-5254

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

Practitioners 1

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

• Kenya Ala

  • Homemaker
  • Saint Cloud, FL
  • NPI 1164195418
  NPD Authorized official

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1982378006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 WOOD LAKE CIR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347727467",
            "telephone_number": "407-556-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 WOOD LAKE CIR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347727467",
            "telephone_number": "407-593-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE SUPPORT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "ALA",
        "authorized_official_first_name": "KENYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-432-5254"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA - HOMEMAKER COMPANION",
            "identifier": "237380",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108873400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@prestigesupportservice.com",
            "affiliation": "N",
            "address_1": "1317 Wood Lake Cir",
            "city": "Saint Cloud",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347727467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.