Healthcare Provider Details

I. General information

NPI: 1497686166
Provider Name (Legal Business Name): PRESTIGE HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24336 EDDIES WALK WAY
UNIONVILLE VA
22567-2543
US

IV. Provider business mailing address

30 INDUSTRIAL DR STE 2A
LOUISA VA
23093-4126
US

V. Phone/Fax

Practice location:
  • Phone: 540-661-9009
  • Fax:
Mailing address:
  • Phone: 540-661-9009
  • 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: JAYLON SPINNER
Title or Position: ADMINISTRATOR
Credential:
Phone: 540-661-9009