Angelic Visits Senior Support Agency

LBN: Prestige Care Home
Angelic Visits Senior Support Agency is an health care organization with primary practice located at 2051 Montreat Dr , Memphis TN 38134-6613. The organization recently has 6 registered licenses in different health care specialties including Agencies / Home Health, Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center), Nursing & Custodial Care Facilities / Custodial Care Facility, Nursing & Custodial Care Facilities / Adult Care Home, Respite Care Facility / Respite Care. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Prestige Care Home can be contacted via phone (901) 281-8292, or through Spiller-Johnson, Shirley via phone (901) 281-8292.

Contact Information

Primary practice address
2051 Montreat Dr Memphis TN 38134-6613
Phone: (901) 281-8292
Fax: (901) 388-7366
Website:
Map and Directions
Authorized official contact:
Name: Spiller-Johnson, Shirley Licensed Practical Nurse (LPN)
Phone: (901) 281-8292

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 0000000565 Tennessee
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 0000000565 Tennessee
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X 0000000565 Tennessee
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X 0000000565 Tennessee
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 0000000565 Tennessee
Respite Care Facility / Respite Care 385H00000X 0000000565 Tennessee

Profile Details

NPI number 1609264142
LBN Legal business name Prestige Care Home
DBA Doing business as Angelic Visits Senior Support Agency
Authorized official Spiller-Johnson, Shirley Licensed Practical Nurse (LPN)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 7th, 2015
Last updated Jan 7th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609264142 NPPES
Tennessee MEDICAID H445488

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