Provider Demographics
NPI:1891030409
Name:PRESTIGE HOME SERVICES LLC
Entity Type:Organization
Organization Name:PRESTIGE HOME SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HERSCHEL
Authorized Official - Middle Name:CLIFFORD
Authorized Official - Last Name:BAINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-592-5252
Mailing Address - Street 1:2323 SHELVA LN
Mailing Address - Street 2:
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-2534
Mailing Address - Country:US
Mailing Address - Phone:330-592-5252
Mailing Address - Fax:330-745-4629
Practice Address - Street 1:2323 SHELVA LN
Practice Address - Street 2:
Practice Address - City:COPLEY
Practice Address - State:OH
Practice Address - Zip Code:44321-2534
Practice Address - Country:US
Practice Address - Phone:330-592-5252
Practice Address - Fax:330-745-4629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-07
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty