Healthcare Provider Details

I. General information

NPI: 1396664710
Provider Name (Legal Business Name): CM PRESTIGE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11555 HERON BAY BLVD STE 200
CORAL SPRINGS FL
33076-3362
US

IV. Provider business mailing address

11555 HERON BAY BLVD STE 200
CORAL SPRINGS FL
33076-3362
US

V. Phone/Fax

Practice location:
  • Phone: 954-756-6624
  • Fax:
Mailing address:
  • Phone: 954-756-6624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MARJORIE ACEVEDO
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 954-756-6624