Healthcare Provider Details

I. General information

NPI: 1083546550
Provider Name (Legal Business Name): PRESTIGE CARE GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/21/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 SILVERMOUNT ST
WATERVILLE ME
04901-5819
US

IV. Provider business mailing address

40 SILVERMOUNT ST
WATERVILLE ME
04901-5819
US

V. Phone/Fax

Practice location:
  • Phone: 920-627-8525
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: ASHRAF M ALBAKEER
Title or Position: OWNER
Credential:
Phone: 920-627-8525