Organization · Type 2 NPI

Prestige Care Home

Assisted Living Facility · Memphis, TN

NPI number 1609264142 Active

Practice location

2051 Montreat Dr
Memphis, TN 38134-6613

Fax (901) 388-7366

Specialties and licenses

Taxonomy	Code	License
Home Health Agency	251E00000X	0000000565 (TN)
Assisted Living Facility Primary	310400000X	0000000565 (TN)
Alzheimer Center (Dementia Center)	311500000X	0000000565 (TN)
Custodial Care Facility	311Z00000X	0000000565 (TN)
Adult Care Home Facility	311ZA0620X	0000000565 (TN)
Respite Care	385H00000X	0000000565 (TN)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

3 other providers at this address

Prestige Care Home/angelic VisitsHome Health Agency Memphis, TN NPI 1649656844
Shirley Ann Spiller-JohnsonAdult Care Home Facility Memphis, TN NPI 1437468295
Shirley Spiller-Johnson, ADMINISTRATOR/OPERATLicensed Practical Nurse Memphis, TN NPI 1740678960

Other assisted living facility providers in Memphis

See all in Memphis →

NPI record

NPI: 1609264142
Entity type: Organization (Type 2)
Issued: Jan 7, 2015
Last updated: Jan 7, 2015
Status: Active
Subpart: Yes of Prestige Care Home

Other names

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Angelic Visits Senior Support Agency · other name

Authorized official

Shirley Spiller-Johnson, LPN
Owner/administrator
(901) 281-8292

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1609264142

Prestige Care Home's National Provider Identifier is 1609264142, issued on Jan 7, 2015. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Memphis, TN. The record was last updated on Jan 7, 2015.