Healthcare Provider Details

I. General information

NPI: 1891617049
Provider Name (Legal Business Name): PRESTIGE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9405 N MAIN ST
KANSAS CITY MO
64155-7311
US

IV. Provider business mailing address

9405 N MAIN ST
KANSAS CITY MO
64155-7311
US

V. Phone/Fax

Practice location:
  • Phone: 816-914-7173
  • Fax:
Mailing address:
  • Phone: 816-914-7173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. LUSHONDA SMITH
Title or Position: OWNER
Credential: B.S., MHA
Phone: 816-914-7173