Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
PRESTIGE SENIOR ENRICHMENT CENTER INC
Active
Organization
PRESTIGE SENIOR ENRICHMENT CENTER INC
Active
Other names
Prestige Enrichment Center INC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY LIDE (PRESIDENT)
(336) 340-4734
Entity
Organization
Contact information
Practice address
2104 NORTHBAY DR, BROWNS SUMMIT, NC 27214-8701
(336) 912-8462
(336) 763-8405
Mailing address
2104 NORTHBAY DR, BROWNS SUMMIT, NC 27214-8701
(336) 912-8462
(336) 763-8405
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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