CCN: 397658 NPI: 1063426831 Organization

PRESTIGE HOME CARE AGENCY

10890 BUSTLETON AVE , STE. 211
PHILADELPHIA, PA 191163313

Contact Information

Phone 2156773299
Fax 2156779811
Enumeration Date 2006-07-28
Last Updated 2022-04-29

Taxonomies

Code: 251E00000X License State: PA License: 1000077100006
Code: 251E00000X License State: PA License: 397658
Code: 251E00000X License State: PA License: 1000077100002
Code: 251E00000X License State: PA License: 1000077100011
Code: 251E00000X License State: PA License: 1000077100010
Code: 251S00000X License State: PA License: 1000077100013
Code: 251S00000X License State: PA License: 1000077100001
Code: 251E00000X (Primary) License State: PA License: 1000077100005

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.