Organization Name: | PRESTIGE HOME HEALTH CARE, INC |
NPI Number: | 1033576020 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MATUTU NYABANGE (CEO/ADMINISTRATOR) |
Mailing Address: | 205 S Washington St Shelby |
State: | NC US |
Postal Code: | 281504797 |
Phone Number: | 7049443537 |
Fax Number: | 7049443529 |
NPI Enumeration Date: | 01/21/2016 |
NPI Last Update Date: | 03/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | HC4468 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |