Provider Demographics
NPI:1265015549
Name:PRESTIGE CARING HANDS LLC
Entity Type:Organization
Organization Name:PRESTIGE CARING HANDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CNA
Authorized Official - Prefix:
Authorized Official - First Name:TIARA
Authorized Official - Middle Name:SHANTIA
Authorized Official - Last Name:HYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:919-946-5647
Mailing Address - Street 1:4819 EMPEROR BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-5420
Mailing Address - Country:US
Mailing Address - Phone:919-946-5647
Mailing Address - Fax:
Practice Address - Street 1:4819 EMPEROR BLVD STE 400
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-5420
Practice Address - Country:US
Practice Address - Phone:919-946-5647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-04
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health