Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PRESTIGE VINTAGE CARE
Active
Organization
PRESTIGE VINTAGE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHOSHANNA LYNN OMOBOSOYE RN (OWNER/ADMINISTRATOR)
(713) 491-0991
Entity
Organization
Contact information
Practice address
4111 GREAT FOREST CT, HUMBLE, TX 77346-2489
(713) 269-5345
Mailing address
4111 GREAT FOREST CT, HUMBLE, TX 77346-2489
(713) 269-5345
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up