Provider Demographics
NPI:1891555181
Name:PRESTIGE HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:PRESTIGE HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:IGNATIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:CHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-915-6352
Mailing Address - Street 1:3257 SUNHAVEN OVAL
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-5856
Mailing Address - Country:US
Mailing Address - Phone:440-487-0450
Mailing Address - Fax:
Practice Address - Street 1:3257 SUNHAVEN OVAL
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-5856
Practice Address - Country:US
Practice Address - Phone:440-487-0450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health