PRESTIGE HOME SUPPORT NPI 1487831194

NPI Information

NPI: 1487831194
Provider Name: PRESTIGE HOME SUPPORT
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
1922 E MCIVER RD
FLORENCE, SC
ZIP 29501
Phone: (843) 669-4664
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PRESTIGE HOME SUPPORT is a nursing care in Florence, SC. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. PRESTIGE HOME SUPPORT NPI is 1487831194. The provider is registered as an organization entity type.

The provider's business location address is:

1922 E MCIVER RD
FLORENCE, SC
ZIP 29501-640
Phone: (843) 669-4664
Fax: (843) 669-9229

The provider's authorized official is Almeda Myers Graham .
The authorized official title is Owner and has the following contact phone number (843) 669-4664.

The enumeration date for this NPI number is 1/24/2008 and was last updated on 1/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	251J00000X	Nursing Care				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DE2391	OTHER	SOUTH CAROLINA	MEDICAID DME
2	EX0574	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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