Provider Demographics
NPI:1811573348
Name:PRESTIGIOUS CARE HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:PRESTIGIOUS CARE HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANGER, RN SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:GIONNA
Authorized Official - Middle Name:V
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-288-4469
Mailing Address - Street 1:2091 MIAMI RD
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-2436
Mailing Address - Country:US
Mailing Address - Phone:216-288-4469
Mailing Address - Fax:
Practice Address - Street 1:27801 EUCLID AVE STE 512
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44132-3500
Practice Address - Country:US
Practice Address - Phone:216-288-4469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-23
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty