Organization · NPI-2

Prestige Care Home

Assisted Living Facility · Memphis, TN

NPI number1609264142
StatusActive
Last updated in NPPESJan 7, 2015

Details

NPI
1609264142
Entity type
Organization (NPI-2)
Legal business name
Prestige Care Home
Organization subpart
Yes
Enumeration date
Jan 7, 2015
Last updated
Jan 7, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility0000000565TNYes
251E00000X Home Health0000000565TN
311500000X Alzheimer Center (Dementia Center)0000000565TN
311Z00000X Custodial Care Facility0000000565TN
311ZA0620X Custodial Care Facility, Adult Care Home0000000565TN
385H00000X Respite Care0000000565TN

Other names

  • Angelic Visits Senior Support Agency (Other Name)

Practice location

2051 Montreat Dr
Memphis, TN 38134-6613

Phone 901-281-8292 · Fax 901-388-7366

Mailing address

2051 Montreat Dr
Memphis, TN 38134-6613

Phone 901-281-8292 · Fax 901-388-7366

Authorized official

Shirley Spiller-Johnson
Owner/Administrator
9012818292

Is something wrong?

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