PRESTIGE SUPPORT SERVICES INC NPI 1982378006

NPI Information

NPI: 1982378006
Provider Name: PRESTIGE SUPPORT SERVICES INC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1317 WOOD LAKE CIR
SAINT CLOUD, FL
ZIP 34772
Phone: (407) 593-2621
Get Directions

PRESTIGE SUPPORT SERVICES INC is a prosthetic orthotic supplier in Saint Cloud, FL. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. PRESTIGE SUPPORT SERVICES INC NPI is 1982378006. The provider is registered as an organization entity type.

The provider's business location address is:

1317 WOOD LAKE CIR
SAINT CLOUD, FL
ZIP 34772-467
Phone: (407) 593-2621

The provider's authorized official is Kenya Ala .
The authorized official title is Owner and has the following contact phone number (912) 432-5254.

The enumeration date for this NPI number is 8/3/2021 and was last updated on 6/21/2022.

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	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			No
2	335E00000X	Prosthetic/Orthotic Supplier				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	237380	OTHER	FLORIDA	AHCA - HOMEMAKER COMPANION
2	108873400	MEDICAID	FLORIDA

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »