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NPI Code Detail

MEDICARE: PRESTIGE CARE HEALTH SERVICES, INC.

MEDICARE: PRESTIGE CARE HEALTH SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency007922TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669561882
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRESTIGE CARE HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : 8313 SOUTHWEST FWY
Second Line : SUITE 235
City : HOUSTON
State : TX
Zip : 77074-1613
Country : US
Telephone Number : 713-271-0105
Fax Number : 713-271-0190
Provider Business Practice Location Address
First Line : 8313 SOUTHWEST FWY
Second Line : SUITE 235
City : HOUSTON
State : TX
Zip : 77074-1613
Country : US
Telephone Number : 713-271-0105
Fax Number : 713-271-0190
Authorized Official
Title or Position : ADMINISTRATOR
Name : DENISE HUFF
Credential : R.N.
Telephone Number : 713-271-0105
Provider Enumeration Date : 10/12/2006
Last Update Date : 01/12/2012

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Directions to “PRESTIGE CARE HEALTH SERVICES, INC. ” Practice Location

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