Provider Demographics
NPI:1497947097
Name:PRESTIGE CARE, INC.
Entity Type:Organization
Organization Name:PRESTIGE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESTRELLA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:CHAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:212-675-8412
Mailing Address - Street 1:12 W 18TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-4616
Mailing Address - Country:US
Mailing Address - Phone:212-675-8412
Mailing Address - Fax:212-675-8415
Practice Address - Street 1:12 W 18TH ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-4616
Practice Address - Country:US
Practice Address - Phone:212-675-8412
Practice Address - Fax:212-675-8415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-16
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9188L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health