Healthcare Provider Details

I. General information

NPI: 1265244354
Provider Name (Legal Business Name): PRESTIGE MEDICAL STAFFING SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2025
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 EAGLE POINT CORPORATE DR
BIRMINGHAM AL
35242-1900
US

IV. Provider business mailing address

4000 EAGLE POINT CORPORATE DR
BIRMINGHAM AL
35242-1900
US

V. Phone/Fax

Practice location:
  • Phone: 205-588-3467
  • Fax: 205-588-3486
Mailing address:
  • Phone: 205-588-3467
  • Fax: 205-588-3486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: DR. LATRISHA HOWARD
Title or Position: DIRECTOR
Credential:
Phone: 866-370-3967