MEDICARE: PRESTIGE HOME CARE L.L.C.

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1871031294
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRESTIGE HOME CARE L.L.C.

Provider Business Mailing Address
First Line	:	1755 VILLAGE CENTER CIR
Second Line	:	#19
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-0561
Country	:	US
Telephone Number	:	818-438-3250
Fax Number	:

Provider Business Practice Location Address
First Line	:	1755 VILLAGE CENTER CIR
Second Line	:	#19
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-0561
Country	:	US
Telephone Number	:	818-438-3250
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DANIEL RUBENSTEIN
Credential	:
Telephone Number	:	818-438-3250

Provider Enumeration Date	:	02/06/2017
Last Update Date	:	02/06/2017

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Directions to “PRESTIGE HOME CARE L.L.C. ” Practice Location

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