Provider Demographics
NPI:1568011815
Name:PRESTIGE FAMILY HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:PRESTIGE FAMILY HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEOMAR
Authorized Official - Middle Name:C
Authorized Official - Last Name:CURAMENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-334-6135
Mailing Address - Street 1:3428 CRYSTAL TOWER ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-8140
Mailing Address - Country:US
Mailing Address - Phone:702-334-6135
Mailing Address - Fax:702-583-7844
Practice Address - Street 1:1180 N TOWN CENTER DR STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89144-6308
Practice Address - Country:US
Practice Address - Phone:702-945-2765
Practice Address - Fax:702-583-7844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-10
Last Update Date:2022-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care