Provider Demographics
NPI:1699571539
Name:PRESTIGIOUS HEALTHCARE INTEGRATED SERVICES
Entity type:Organization
Organization Name:PRESTIGIOUS HEALTHCARE INTEGRATED SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDUL
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGBA-KAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-954-9250
Mailing Address - Street 1:270 NORTHLAND BLVD STE 113
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-3629
Mailing Address - Country:US
Mailing Address - Phone:513-954-9250
Mailing Address - Fax:
Practice Address - Street 1:270 NORTHLAND BLVD STE 113
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-3629
Practice Address - Country:US
Practice Address - Phone:513-954-9250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health