Provider Demographics
NPI:1265973705
Name:PRESTIGE COMFORT HEALTHCARE AGENCY INC
Entity type:Organization
Organization Name:PRESTIGE COMFORT HEALTHCARE AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:SADE
Authorized Official - Last Name:JETER
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:832-528-1923
Mailing Address - Street 1:611 DAIRY ASHFORD
Mailing Address - Street 2:156
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079
Mailing Address - Country:US
Mailing Address - Phone:832-528-1923
Mailing Address - Fax:
Practice Address - Street 1:611 DAIRY ASHFORD RD APT 156
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-3906
Practice Address - Country:US
Practice Address - Phone:832-528-1923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-16
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health