Provider Demographics
NPI:1508095142
Name:PRESTIGE HOME CARE SVCS.
Entity Type:Organization
Organization Name:PRESTIGE HOME CARE SVCS.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:TYANNE
Authorized Official - Last Name:MCCRAY-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-682-9214
Mailing Address - Street 1:PO BOX 141853
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32614-1853
Mailing Address - Country:US
Mailing Address - Phone:352-682-9214
Mailing Address - Fax:
Practice Address - Street 1:3530 SE HAWTHORNE RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32641-8858
Practice Address - Country:US
Practice Address - Phone:352-682-9214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-03
Last Update Date:2009-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health