Provider Demographics
NPI:1982160370
Name:PRESTIGE CARE CENTER INC.
Entity Type:Organization
Organization Name:PRESTIGE CARE CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:NNAMDI
Authorized Official - Last Name:NNAJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-375-9718
Mailing Address - Street 1:5555 LONG PRAIRIE TRCE APT 1138
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1783
Mailing Address - Country:US
Mailing Address - Phone:832-375-9718
Mailing Address - Fax:
Practice Address - Street 1:617 COUNTY ROAD 99
Practice Address - Street 2:
Practice Address - City:ALVIN
Practice Address - State:TX
Practice Address - Zip Code:77511-7683
Practice Address - Country:US
Practice Address - Phone:832-375-9718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-11
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities