Prestige Group Home Inc

LBN: Prestige Group Home Inc
Prestige Group Home Inc is an health care organization with primary practice located at 2278 Sw Plymouth St , Port Saint Lucie FL 34953-2379. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Prestige Group Home Inc can be contacted via phone (772) 879-4575, or through Georges, Tanya via phone (772) 349-8608.

Contact Information

Primary practice address
2278 Sw Plymouth St Port Saint Lucie FL 34953-2379
Phone: (772) 879-4575
Fax: (772) 777-2088
Website:
Map and Directions
Authorized official contact:
Name: Georges, Tanya Registered Nurse (RN)
Phone: (772) 349-8608

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1548979800
LBN Legal business name Prestige Group Home Inc
DBA Doing business as
Authorized official Georges, Tanya Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2022
Last updated Nov 15th, 2022 - about 3 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 1548979800 NPPES
Florida MEDICAID 685946196

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