Healthcare Provider Details

I. General information

NPI: 1730007261
Provider Name (Legal Business Name): PRESTIGE ELITE LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N ALLEN DR STE 107
ALLEN TX
75013-2566
US

IV. Provider business mailing address

400 N ALLEN DR STE 107
ALLEN TX
75013-2566
US

V. Phone/Fax

Practice location:
  • Phone: 469-907-9330
  • Fax:
Mailing address:
  • Phone: 469-907-9330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: JASMINE G HARRIS
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 469-907-9330