# PRESTIGE CARE HOME/ANGELIC VISITS

> 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
- **Other names:** Angelic Visits
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649656844
- **Authorized official:** SHIRLEY SPILLER-JOHNSON (NURSE ADMINISTRATOR)
- **Authorized official phone:** (901) 281-8292

## Contact information

- **Practice address:** 2051 MONTREAT DR, MEMPHIS, TN 38134-6613
- **Practice address phone:** (901) 281-8292
- **Practice address fax:** (901) 388-7366
- **Mailing address:** 2051 MONTREAT DR, MEMPHIS, TN 38134-6613
- **Mailing address phone:** (901) 281-8292
- **Mailing address fax:** (901) 388-7366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 0000000565 | TN | Yes |
| 310400000X | Assisted Living Facility | 0000000565 | TN | — |

## Other

- **Enumeration date:** 08/11/2015
- **Last updated:** 08/11/2015