| NPI | 1285405068 |
|---|---|
| Doing Business As | PRESTIGE HOMECARE |
| Entity Type | Organization |
| Authorized Contact | KIERRA REYNOLDS Administrator 832-326-5586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X |
| 251E00000X Home Health | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 310500000X Intermediate Care Facility, Mental Illness | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-01-11 |