# PRESTIGE HOMECARE LLC

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275970782
- **Authorized official:** SOKUNTHEARI HANG (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (763) 445-2694

## Contact information

- **Practice address:** 11670 FOUNTAINS DR STE 200, MAPLE GROVE, MN 55369-7195
- **Practice address phone:** (763) 445-2694
- **Mailing address:** 11670 FOUNTAINS DR STE 200, MAPLE GROVE, MN 55369-7195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/24/2013
- **Last updated:** 05/24/2013