Provider Demographics
NPI:1598972929
Name:PRESTIGE CARE INC.
Entity Type:Organization
Organization Name:PRESTIGE CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:ROSEMARIE
Authorized Official - Last Name:BROWN-HUGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-763-3110
Mailing Address - Street 1:3 BOULEVARD S
Mailing Address - Street 2:
Mailing Address - City:KEYPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:07735-6103
Mailing Address - Country:US
Mailing Address - Phone:732-290-9110
Mailing Address - Fax:732-290-9115
Practice Address - Street 1:1980 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-3440
Practice Address - Country:US
Practice Address - Phone:973-763-3110
Practice Address - Fax:973-763-3112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ9104909Medicaid
NJ9104909Medicaid