Provider Demographics
NPI:1972261402
Name:PRESTIGE HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:PRESTIGE HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:S
Authorized Official - Last Name:MEDEUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-754-2024
Mailing Address - Street 1:250 FULTON AVE STE 512
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-3901
Mailing Address - Country:US
Mailing Address - Phone:516-754-2054
Mailing Address - Fax:
Practice Address - Street 1:250 FULTON AVE STE 512
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-3901
Practice Address - Country:US
Practice Address - Phone:516-754-2054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-01
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management