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General NPI Number Information
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NPI Number | 1942110655
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Entity Type | Organization
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Legal Business Name | PRESTIGIOUS CARE LLC
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 6138 N 20TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19138-2419
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Country | US
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Telephone | 609-202-2865
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Fax |
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Provider Business Mailing Address
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Address Line | 24 W MAPLE AVE
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City | PENNS GROVE
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State | NJ
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Zip | 08069-1915
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Country | US
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Telephone | 609-202-2865
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. CADESHA BALLARD
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Credential |
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Telephone | 609-202-2865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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