Provider Demographics
NPI:1386031490
Name:PRESTIGE CARE SERVICES, LLC.
Entity type:Organization
Organization Name:PRESTIGE CARE SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:PARISI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:941-822-1245
Mailing Address - Street 1:5211 MALAGA AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34235-3422
Mailing Address - Country:US
Mailing Address - Phone:941-822-1245
Mailing Address - Fax:
Practice Address - Street 1:5211 MALAGA AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34235-3422
Practice Address - Country:US
Practice Address - Phone:941-822-1245
Practice Address - Fax:941-822-1245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-16
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care