NPI Registry.org

Prestige Senior Care

NPI Registration Record

Provider / OrganizationNPIDate Certified
PRESTIGE SENIOR CARE12751135652021-04-11

The organization Prestige Senior Care is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1275113565. Registration indicates Prestige Senior Care is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Psychologist (Behavioral Health & Social Service Providers, Psychologist) (Psychologist: Clinical Child & Adolescent, ) (Psychologist Clinical Child & Adolescent, Behavioral Health & Social Service Providers) (Psychologist, )

Other Names:
Entity TypeOrganization
Provider OrganizationPRESTIGE SENIOR CARE
Practice Office Address10151 DEERWOOD PARK BLVD STE 250
JACKSONVILLE, FL US
Practice Office Telephone8004386702
Mailing Address8450 GATE PKWY W UNIT 1330
JACKSONVILLE, FL 322161072 US
Business Telephone9045455481
Authorized OfficialKIMBERLY MIX, OWNER
9045455481
Contact Endpoints
CONNECT URL []www.prestigeseniorcare.com
HPT Codes
CodePractice
License No
State
103TC2200X PRIMARYAccess to Mental Health/Behavioral Health Providers
Behavioral Health & Social Service Providers
Psychologist
Behavioral Health & Social Service Providers
Psychologist
Psychologist: Clinical Child & Adolescent

Psychologist Clinical Child & Adolescent
Behavioral Health & Social Service Providers
Psychologist
193200000X MULTGroup Code
OPI Codes
1154907897 OTHER FL HOME HEALTH AID
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